CE 865 Sailfish 2010 (2) yf'
v Compliance Investigation Form
Investigation# '1 yC I6 Date of Request: I 0 S 11) Time of Request:
Name of Person Making Request: A,—' , -i Q 0 t,
Address: Phone#
Investigation Type: (' , nn ,J' _ - ^/
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(Address) �5 s Oo e
Location Address of Violation:
Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
Action Taken: Z n 74 / (l/YnIr /g.'M9CY 111,.4/ d4 tlLayi, 61
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ComPliance: /jJW/
Legal Description: —RE#:
FACode Enforc mtComplianm InvestivXion Fo .dm Oct 9 2009