CE 38 17th St 2010 1. .!
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Compliance Investigation Form
Investigation# YO/0 Date of Request:JU4-/D Time of Request:
Name of Person Malting Request: 130 o
Address:
40 l7*'- 87r" e Phone# ZZ(o --79/0
Investigation Type: Cf
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Location (Address)of Violation:
Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
Action Taken: T tito 4 xjxk- AYD 71ECK - �61�EcJf /y1��421 Q 117 SAL
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o pliance:
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Legal Description: h!:
P:\Code Enforcemeut\Compliance Investigation Fotm.doc
Oct 9 2009