CE 407 IREX 2009 fJD Ny=Fhd1CMEIIfi
COMBLAINTn �o ( conmLAINTDATE:�L�o9 TIKE: 080
COMPLAINT-ANT:
Last First
ADDRESS:
Street City State
PHONE NUMBER
COMPLAINT TYPE: o/ YE///CA
LOCATION: 7 �� �n G^ �I 9 Atlantis Beach, FL 32233
street City . State Zip
TELEPHONE #: ,_ PROPERTY OWNER;
COMPr ANCE: DEPT./DIVISIONS: 10 - 6
PRIORITY CODE: / TAKEN BY: G
INVESTIGATION DATE: 6 // Z / 9 TIME: f0
INVESTIGATOR: �• f/lEl�F/' DDEPT./DIVISICNS:
ACTION TMMN: /f/O l�iB�d J�iOiJ r"o��p yF�/r c4 A61,//E-'F
COMPLIANCE:
LEGAL, DESCRIPTION: RE n