CE 519 ATLANTIC BLVD 2012 i+ I�
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Compliance Investigation
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Investigation# Date of Request: G--!t- 17- Tin
Name of Person Making Request: .4"
Address: PW Phone #
Investigation Type:
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Location (Address) of Violation:
Phone Number: Property Owner: /.)? �AJ �-
Request Taken by: Investigator:
Action Taken: 1eey4-fo iL -A/DY- tu01k,&- — 64_57-&W
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Compliance: bl W, 1/'t-+ � i "v *_5
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Legal Description: RE#:
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FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009