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Compliance Investigation Form
Investigation# Date of Request: I-1 C l 3 Time of Request:
Name of Person Making Request:
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Address: Phone #
Investigation Type
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Location (Address) of Violation: M 54I`���`�/_ hou s� ��� 6-�-
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Property Owner: / I )
VIOLATIONS: n4X
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Action Taken:
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Legal Description:
Compliance:
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FACode Enforcement\Compliance Investigation Form.doc
Oct 9 2009
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F�ORIOQ'
CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Seminole Road
Atlantic Beach,Florida 32233
PHONE: 247.5855
COURTESY
NOTICE OF VIOLATION
DATE /"� TIME
OWNER OCCUPANT
ADDRESS �'`
1
THE INSPECTION MADE OF THE ABOVE PREMISES
THIS DATE DISCLOSED YOU WERE. IN VIOLATION. OF
ORDINANCE:
OF THE CODE OF THE CITY OF ATLAN fIC BEACH,
FLORIDA.
YOU CAN COMPLY BY
WITHIN S DAYS OF IS NOTICE
j
THIS IS A COURTESY NOTICE IN ORDER TO MAKE
YOU AWARE OF A VIOLATION OF THE CITY CODE
OF ATLANTIC BEACH. IF YOU HAVE ANY QUESTIONS
OR WOULD LIKE ADDITIONAL . INFORMATION
PERTAINING TO THIS NOTICE, PLEASE CALL
ATLANTIC BEACH CODE ENFORCEMENT OFFICE.
CE#
CODE ENFORCEMENT OFFICER
RECEIVED BY
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