CE 60 ARDELLA 2010 • ="�T Compliance Investigation Form
Investigation#_ 6C)Sl E) Date of Request: 7'-9940 Time of RPS lPst:
Name of Person Making Request: fir' �j 2 etJ
Address: Phone#
Investigation Type:
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Location(Address) of Violation:
Phone Number: Property Owacr/Mauager: ofR 6ere
Request Takcn bby:: q Investigator:
Action Taken: r }A Atif Am
Compliance:
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Legal Description: RE#: /7ao3a-000O
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