CE 276 Camelia 2014 'r, s
Compliance Investigation Form
Investigation# Date of Request: Time o; i:equest: 12 /
Name of Person Making Request:
Address: Phone #
Investigation Type:
Goo r W P6 30 f�,
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Location (Address) of Violation: p� L J 'w ZT,
Phone Number: Property Owner/Manager: �� 1
Request Taken by: Investigator:
Action Taken:
on
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Compliance: _ _
Legal Description:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2