CE 1067 ATLANTIC #26212 2015 �r �•r' _. 1'x/1
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Compliance Investigation Form
hlvestigation# a LgD t-:�L Date of Request: a9 I Ja Time of Request:
Name of Person Making Request: D>L�,
Address: Phone#
Investigation Type:
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Location (Address) of Violation:
Phone Number: Property ner anager:
Request Taken by: Investigator:
Action Taken:
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Compliance: ?�',-)4
Legal Description: RE#:
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FACode EnforcementTomplimice Investigation Form.doc Oct 9 2009