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Compliance Investigation Form
Investigation# 9,3310 Date of R/elques(t�: I I(l Time of Request: 10'_ 0 j C,
Name of Person Making Request: C ¢ ...`
Address: Phone#
Investigation Type: -
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Location(Address) of Violation:
Phone Number: Property Ow edManager:
Request Taken by: Investigator:
Action Taken: ri
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Compliance:
Legal Description: RE#:
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CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Semin F`oRda 2233
Atlantic Beach,
PHONE:247.5855
COURTESY
NOTICE OE VIOLATION
_TIME � t��'�•—
DATE �_L �-F'��
OWNER I-�EPNT
THE INSPECTION MADE OF THE ABOVE PREMISES
THIS DATE DISCLOSED YOU WERE IN VIOLATION OF
ORDINANCE:
' OF ATLANTIC BEACH,
OF THE CODE OF THE CITY
FLORIDA.
YOU CAN COMPLY BY
L
DAYS THIS NOTICE
WITHIN
COURTESY NOTICE IN ORDER TO MAKE
VIOLATION OF THE CITY CODE
THIS lS A UESTIONS
YOU AWARE B CH IF YOU HAVE ANY Q
OF ATLANTIC BFB pDDlT10NAL INFORMATION
TION
OR WOULD LIKE PLEASE
THIS oN�OTICE, TO CE.
ATLAN4 Br� •� r0 C�pERTAINING TO CODE RA NT
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COME ENFORCEMENT OFFICEP
RECEIVED BY
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