CE 1640 MAIN ST 2013 a
S
Compliance Investigation Form
2Time of Request:
Investigation# Date of Request: � J q
Name of Person Making Request: G�
Address: / Phone #
Investigation Type
Location (Address) of Violation:
Property Owner:
VIOLATIONS:
Action Taken:
h /V
Legal Description:
RE#: Compliance:
FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009