CE 1399 ROSE ST #23112 2012 o r �
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"r Compliance Investigation Form
Investigation# Qg ('�, Date of Request: Z>14. Time of Request: L-1 t Z71>
Name of Person Making Request:
Address: IZ*1 2(� Phone# o
Investigation Type:
C
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Location (Address) of Violation:
Phone Number: Prope ��Owneranager:
Request Taken by: Investigator: T K I�;-
Action Taken: A U 10 '{
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Compliance:
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Forn-i.doc Oct 9 2009