CE 736 AMBERJACK #14212 2015 "rlra
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Compliance Investigation Form
Investigation# L qD _Date of Request: :D �, t Time of Request: b ,M-,
Name of Person Making Request: /r\C�,.�u,Z!S
Address: Phone#
Investigation Type:
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Location (A ress) of Violation: '� s , m n G .,_M 9-
Phone Number: Prope Owner anager:
Request Taken by: Investigator: _Q
Action Taken: IA 5.3n
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Compliance: 2
Legal Description: RE#:
FACode EnforcementTompliance Investigation Form.doc Oct 9 2009