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tea' Compliance Investigarion Form
Investigation# YO Date of Request: q/' 0 Time of Request:
Name of Person Making Request: �' �'� 2
Address: Phone#
Investi atioa Type: /f,
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Location(Address)of violation: ` 0 Dl-
Phone
rPhone Number: Property Owner/Manager: /Y1A r/ F
Request Taken by: """""" ��/ Investigator:
Action Taken: Zf, maded y/7�/�
Compliance:
Legal Description: 36 -60 .38- 2.5 a yE RE#: Md 0 3 -Oo oo
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F-Rode Enforcemmt\compliaace Investigation Form.doc OM 9 2009