CE 411 Skate 2010 `b
Compliance Investigation Form
Investigation# 7100 Date of Request: I -Time of Request: 3
Name of Person Making Request: 6YL. z,,
Address: Phone# I 1O
Investigation Type:
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Location (Address)of Violation: L4 a
Phone Number: Property Owner/Manager:
Request Taken by: ,r Investigator: ��1 �4 .1\
Action Taken:
Compliance:
Legal Description: RE#:
F:\Code Enforcement\Compliance lnesti¢mion Formdm Oct 97009