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CE DUMPING VAC LOT ACROSS 1969 BEACH r Compliance Investigation Form Investigation# Date of Request: Time of Request: Location (Address) of Violation: Property Owner/Manager: VIOLATIONS: -s4 i49- Action Taken: ^— r Compliance: lam— W Name of Person Making Request/Complaint: Address: Phone # Investigation Type t "001ty F:ACode Enforcement\Compliance Investigation Form.doc April 25 2013