CE 469 ATLANTIC BLVD #29012 2015 rJ�''Jf Compliance Investigation Form
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Name of Person Making Request: 4
Address: Phone#
havestigation Type:
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Location (Address) of Violation: Li t-"q "'.'a" G��
Phone Number: Property Owner[Manager: ^��
Request Taken by: Investigator: 1 �
Action Taken:
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Compliance: q
Legal Description: RE#:
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FACode EnforcementTompliance Investigation Foml.doc Oct 9 2009