CE 322 SARGO 2010 (2) Y
Compliance Investigation Form
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Investigation# 4'�1�1 T 0 Date of Request:� Q_Time of Request: Q .4 5
Name of Person Making Request: _yam
Address: Phone#
Investigation Type: 7 1 I 64 (� C ,^1 /`l_1 n
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Location(Address)of Violation: � a ^ I
Phone Number: nn Prope Owne /Manager: le k z\ iQ -
Request Taken by: Investigator:
Action Taken: \\
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Compliance: sl-.%011) Ak C(
Legal Description: RE#:
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