CE 469 ATLANTIC BLVD #27812 2015 rtrlJl4"
f
J J/
Compliance Investigation Form
liivestigation Date of Request: L Time of Request:
Name of Person Making Request: , 4 A
Address: Phone#
Investigation Type:
1
r
zt-rs-
Location (Address) of Violation: 1(U.`1 -
Phone Number: Property Owner/1Vlanager.Q�-{(ol lLA.
Request Taken by: Investigator: � r
Action Taken:
02 J
W
Compliance: Li 1',
Legal Description: RE#:
FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009