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Compliance Investigation Form
Investigation# / 7/) Date of Request: /M/ Time of Request: 3.. ,_5
Name of Person Making Request: Th5
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Address: Phone#
I Investigation Type:
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Location (Address) of Violation: 0 -i.ari,e--6- - '
Phone Number: Property Owner/Manager: ___CjL[?,u,A A:217 42retiziect..
Request Taken by: Investigator:
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Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009
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CITY OF ATLANTIC BEACH I�
CODE ENFORCEMENT DIVISION
800 Seminole Road
Atlantic Beach, Florida 32233
PHONE: 247-5855
COURTESY
NOTICE OF VIOLATION
DATE
/ TIME l 7
t wNER1(xvt.pANT
' C a
ADDRESS
C ),
THE INSPECTION O ED I)YOUE F WERE N VIOLATIONOF PREMISES THIS DATE Dl
ORDINANCE:
te . -V_ : )
OF THE CODE OF THE CITY OF ATLANTIC BEACH,
FLORIDA.
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YOU CAN COMPLY BY/1
, , a'. _= /l i ,u Al
WITHIN -. 2� DAYS OF THIS NOTICE
THIS IS A COURTESY NOTICE IN ORDER TO MAKE
YOU AWARE OF A VIOLATION YOU HAOF THE VE ANY QUESTIONS
CITY CODE
OF ATLANTIC BEAC
OR WOULD LIKE ADDITIONAL INFORMATION
ATLANTICPERTAINING TO THIS NOTICE, PLEASE BEACHCALL
CODE ENFORCEMENT OFFICE.
c)y7— 565
CE#
CODE. ENFORCEMENT OFFICER
RECEIVED BY