CE 295 Belvedere Street 2010 ( A1)
41J F, -r
'v`''3''� Compliance Investigation Form
Investigation# 16.3/0 Date of Request: 4' / /v Time of Request:
Name of Person Making Request: - Z
Address: Phone#
Investigati Type:
tj�2� 30 ` - .� W.ee: s'
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UD I-14-2,
Location (Address) of Violation: c293_ /Je/f/-eJet--e
Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
Action Taken: Lt. w I av~
Compliance:
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009