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CE 1339 CAMELIA 2011 Compliance Investigation Form Investigation# ��q'// Date of Regnest �l ' �/ TS ue of Re4»est 1160, Name of person Making Request phone# Address: Investi ation T I.-e---�- fie-Bret-ax ✓k-�- �dzt,P� -- - Location(Address)of Violation: /✓ A 1 phone Number: prop �n� Request Taken by. �' Y Investigator- •� A`-t=-� �� Action Taken: Compliance: RE#: Legal Description: Oct 9 2009 FACode Enfor --ACamplience Inv.sdganon I,doc