CE 545 ATLANTIC BLVD #56312 2015 Compliance Investigation Form
Investigation# r-S(gZ�Aa Date of Request:� -8 [�- Time of Request:
Name of Person Making Request:
-Z�Y-5- --(Dc Phone#q�)(4 1 '3:�Lc C�C 0 7
Address:, 0 Y1
I=Type:,, Ck -""r- che 5-
W V U r\ O-A rXT
IGO r / '), t �
t aE �
47,
0 d rn 0(;�,(V- 0 V? 0-�
C U--,-,�- a k1l-0
MC)c R Qccpj ( K Va( L )"
+ +0 ocuo cb r
n-i, C -15 jocq
Location (Address) of Violation:
Phone Number-CfOV-OLO 6 Proper< wne anagei� a-
Request Taken by: Investigator:
Action Taken:
koe
Compliance:
Legal Description: RE#:
FACode EnforcernentTornpliance Investigation Form.doc Oct 9 2009
wmwwwmmmw� OWM
.w.mww_� aftwow
gin I am
7, W,70'IV
'Ilk
fA
pr
io
10,
or
wit
Aid
...........................
YI
............. .....