CE 536 ATLANTIC BLVD #72111 2015 Compliance Investigation Form
Investigation# n� I I I Date of Request: IO Time of Request:
Name of Person Making Request: L A 6A
Address: Phone#
Investigation Type:
Location (Address) of Violation: 0 -
Phone Number: (,e 6 S- UC,0 0 Propel -Owner anager:
Request Taken by: Investigator: a�o
Action Taken: Y trV . C�- -
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Compliance:
Legal Description: RE#:
FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009