276 3rd St (vault) CITY OF ATLANTIC BEACH
COMPLAINT MANAGEMENT SYSTEM
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LOCATION:
REAL ESTATE #:
PROPERTY OWNERS NAME:
OWNERS ADDRESS:
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OCCUPANT:
DEPARTMENT FORWARDED TO:
COMPLAINT TAKEN BY: Z -- DATE/TIME:
OFFICE USE ONLY
INVESTIGATED: (date/time) 8,-,tom - S'
ASSIGNED DEPT./DIVISION: PRIORITY:
INVESTIGATOR:
CONDITIONS FOUND:
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COMPLIANCE:
NOTES:
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SPECIAL INVESTIGATION "til 7o
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DATE
ADDRESS
LOCATION
COMPLAINT
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OWNER OF PROPERTY
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FOR OFFICE USE ONLY -
DATE OF INVESTIGATION INVESTIGATOR yO
CONDITIONS FOUND - v;l k r-fir
ACTION TAKEN
COMPLIANCE
NOTES: