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r4J';', Compliance Investigation Form
Investigation# SS,Loi10 Date of Request: 1 tZed 1 b Time of Request: -C,',S S
Name of Person Making Request:
Address: Phone#
Investigation Type:
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Location (Address) of Violation: .1-15 Q j Lut_CLA1 M, .
Phone Number: Prope A Owner ► anager:'a,,,o cJ C c o_ryln.11_,...._
Request Taken by: Investigator: /(---- i
Action Taken: ......., vill _ t% >. . =a ea
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Compliance: la\*D C l a 3II �
Legal Description: RE#:
F:\Code Enforcement\Comoliance Investigation Form.doc Oct 9 2009