CE 358 Skate 2010 Compliance Investigation Form l
Investigation# c2y0/O Date of Request: `� Time of Request:
Name of Person Making Request: • (./�� �-
Address: Phone#
Investiga �� �tio Type:
3� weds
Location (Address)of viobation: 35�, G" rg
Phone Number: Property Owner/Manager:
Request Taken by: _ Investigator: A,�/�
Action Taken: CO/1'R I}r D
Compliance:
Legal Description: RE#:
F:\Code Enforcement\Compli=m Investigation Form.doc Oct 9 2009