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CE 18 17th St 2010 si 9:119 Compliance Investigation Form Investigation#_33510 Date of Request: II 10 Time of Request: Name of Person Making Request: e/I+I Lem Ca77 �i,.i G e! I/D�/y p a f Address: Phone# Investigation Type: �1�"' /JO iters ivcsS /ice.✓fe Z43< d1421 Location(Address)of Violation: .g 17 5+ Phone Number: Property Owner/Manager: 7U-.AN I:>, `'h e eta,45 Request Taken by: Investigator: Action Taken: Doo '{a a Compliance: !� Legal Description: /5-8a 07 .75 -a`)E RE#: /6959/- oaoo CeaN Grev t- „ No . F:\Code Enforcement\CompUw=Investigation Form.doc Oct 9 2009