CE SELVA MARINA CC rs
fitit 's Compliance Investigation Form
Investigation# Date of Request: I 'l b Time of Request:
Location (Address) of Violation:
Property Owner/Manager: 4aA,.� --L
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VIOLATIONS:
0
Action Taken:
ti
Compliance:
U-D
Name of Person Making Request/Complaint:
Address: /921/ I Phone
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Investigation Type :
At
F:\Code Enforcement\Compliance Investigation Form.doc April 25 2013