CE 59 Shell St 2010 i
Compliance Investigation Form
Investigation# !LS j�Date of Request:_LoLaL,_u_Time of Request:
Name of Person Making Request:
Address: Phone#
Investigation Type: _
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Location (Address) of Violation: tign QQ
Phone Number: Property Owner/Manager:
Request Taken by: \ Investigator: X= k"11
Action Taken:- ,Q,Q --(�, t S7, t� (�—��� —�
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Compliance: — C ,3" 1Q A�Q
Legal Description: RE#:
FACode Enfbm nacomoliw.Inwstwation Fa .dm Oct 92009