CE 310 Mayport 2013 r s�
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Compliance Investigation Form
Investigation# ` ` Date of Request: .3�''� �� Time of Request:
Name of Person Making Request:
Address: Phone #
Investigation Type
x
Location (Address) of Violation: �✓�°/ � yt'��l f f 15 /v4 00 v 10Y'7c
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Property Owner:
VIOLATIONS: el ii
Gam. w
Action Taken:
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c, Y
AK&� �� 3
Legal Description:
RE#: Compliance:
F:\Code Enforcement\Compliance Investigation Form.doc
Oct 9 2009