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J';''r Compliance Investigation Form
Investigation# ( /y/0 Date of Request: .-/Z—/O Time of Request:
Name of Person Making Request: Gi e-,)itc.0 d a'tLL-
Address: Phone#
Investigation Type:
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Location (Address) of Violation: /94 S 4e& ii4
Phone Number: Property Owner/Manager: rr � ��L 4
Request Taken by: /theme. 0-(f rI� &'
c Investigator: b ,3t z
Action Taken: Of/ 409-6‘• 5.--/ - / 0 — 3; (,Lg f ,,4
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Compliance:
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009