CE 1804 Selva Grande 2010 a
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a Compliance Investigation Form
Investigation# 366/0 Date of Requessty, Time of Request:
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Name of Person Malting Request: j:;e Z
Address: Phone#
Investigation Type: —3
Location(Address)
Phone Number: Property Owner/Manager: Lara. 22 ZiO-r",r
Request Taken by:
Investigator. HB 3aa33-YSaG
Action Taken:
Compliance:
Legal Description: 38-x8 d4 aS-a9E RE#: /69sya-SODA
J T r 2
F:\Code Enforcement\Compliance Investigation Fo=doc Oat 9 2009