CE 283 Belvedere Street 2010 (2) fe
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Compliance Investigation Form
Investigation# eo 75-10 Date of Request: 1" /0 Time of Request:
Name of Person Making Request: (reP6
Address: Phone# - 3g 3
Investigation Type•
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Location (Address) of Violation: " 071- zi3
Phone Number: Property Owner/Manager: n l
Request Taken by: Investigator: d ikvk
Action Taken: Pia -P 1 // 4. y Jk )1c>rn.t Ka-5 b -f 't /PA-0 w Au.
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1-546717. 37 :6L-----14444 a44- AtVA,tAl-
Compliance: /. ' � � ,•
• 3
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009