CE 370 Sargo Rd 2010 i
=Compl.ianceon Form
investigation# 7 4`J I(] Date of Request: n ►`/,11 t _Time of Request: 11'.4 y
Name of Person Making Request:
Address: Phone#
Investigation Type: _
CIXI
Location (Address) of Violation: 2D C) Ln 11
Phone Number: Property Owner/Manager: �/�
Request Taken by: Investigator: `t' �\� A o,p
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Action Taken: `I ) 9Rn Q n „ p � n
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Compliance: 1 DI td I1eo2gax o cy ZA 2 z
Legal Description: REAL:
F.,\"e EntimcemmnComplime,investigation Fmm.dm Oct 9 2009