CE 78 W8TH ST #61510 2010 ..� CH
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CODE ENeminO lorida 3223 e oad 3
800 S F
Atlantic Beach, 47,5855
PHONE 2
COURTESY TION
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THIS DATE
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OF THE CODE OF a
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RECEIVED BY
Compliance Investigation For
Investigation# /5-/C) Date of Request: -� i O Time of Request:
Name of Person Making Request:
Address: Phone#
Investigation Type:
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Location (Address) of Violation: S-}-
Phone Number: Property Owner/Alanager: (,Ads/es L. !Y)ann
Request Tarn by: Investigator: 11, f 1 rlj n ykn ltd
Action Taken: Z)c o r -�a sy Q0 s+C-C,a n rJ 7 022 /G
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Compliance: ����d � 10 .2/ �y � 1/ Z5G,-
Legal Description: /9 - 31/ PE#:
SCC h` 1916
FACode H-afbrct mmt\C c=da1Ce Eavesagauon Forn.doo Oct 9 200.9