CE 310-312 4th Street 2010 c51
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Compliance Investigation Form
Investigation# c27/D Date of Request: $ 0`/0 Time of Request: g'01/7/4
Name of Person Making Request: A Afe k 11-0LemEs
Address: '7 m 5 1 Phone# 02676- 03c/3
Investigation Type:
-77/q5# y 4 //L65 — fft7S _/LE/N /00jAg-
Location (Address) of Violation: 3 i? 47'' 37
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Phone Number: t Lb Poo Property Owner/Manager: /57- Wer
Request Taken by: /' Gu ll-1TE- Investigator: CH/57-1994/C)
Action Taken: LAJl 11/IUB DI NEL mei( riaDb /4,J6/ ec...
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�I 17I i oi' /'� (2Compliance: / C.2� �d ��) ; �5
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Fonn.doc Oct 9 2009