CE 135 Belvedere Street 2010 .
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- Compliance Investigation Form
Investigation 4 6 '70 Date of Regtiest:q I l 1 I ► ) Time of Request pfd
Name of Person Making Request
Andress: Phone i . -
Investigation Type:
6
Location on(Ad€ress) of Violation: 1 -, 'J 4.SL.J.re_
Phone N€iber_ opel Ly OwierliE+'. nger:
Request Taken by: Inver tgator: ` \
Action Taken:
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Compliance: ,!�. 0 0 g 9, - 0
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Legal Description_ '1
F:\Code Enforcemeat\Complimicp Lzvestigatio3 Foxm.doc Oct 9 2009