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`°""r Compliance Investigation Form
Investigation# 'ji i l Date of Reque"st_a[ LSA. Time of Request: //.*-35
Name of Person Making Request:
Address: Phone#
Investigation Type:
Location(Address) of Violation:
Phone Number: Property Owner/Manager: (a L, -L3, AO`6m-.rF=. o
Request Taken by: Investigatorr: �
Action Taken: (//f �.t'� `6k,,,,
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Compliance: / /o
Legal Description: RE#:
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