CE 157 Belvedere Street 2010 (2) �r--,
.... -• Compliance Investigation Form
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Investigation# (a 7 w/0 Date of Request:' eU/3 i//C Time of Request /.4 . 4:(4...-
Name
: 4...-Name of Person Making Request_ (Jb f a /1/0% AJ/ 7 7- Bi r)i 7197 err
Arlaress: / 9 C S , / ?-)o/c. X d Phone# -
Investigation Type:
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I) ( r f-n e t, 101 ,-� T La 1i-1e F. (i✓e i /1/locum
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Location(Address) of Violation: /5 I —84 k rl i,eL .S70-2---
Phone N ber: Property Owner/ ger:
Request Taken by: S9 0a//- --n-'1
Investigator: / i)
Action Taken: Lone y /;nn S lY// PSG 51 , /o' d
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I Compliance: ( U 9/ //e) .A4 a- — e l
Legal Description: RE#:
Oct 9 2009
F:1Code EnforcersentkCompliancc t vestioation Form.doc