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Compliance Investigati®n F
Investigation# 3 yJ /b Date of Request: b' Time
Name of Person Making Request: Surley
Address: j2a Phone#
Investigation Type: 16
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Location (Address) of Violation: l aoa t4 A I5u'S
Phone Number: L(LI(4-,;0 q'I Property Owner/Manager: -+..V--t,ts
Request Taken by: Investigator: <5
Action Taken: At v,,,,eJ c*-
Compliance: '//:3
Legal Description: #
FACode Enforcement\Compliance InvestigatiT Forni.doc Oct 9 2009 ,