CE 1098 Beach Boulevard 2011 �4011.19�
Compliance Investigation Form
Investigation# ,5Q t Date of Request: ,D// / Time of Request: ,3,'Ora
Name of Person Making Request: ��JG ( q1i_
Address: Phone#
Investigation Type: 11
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Location (Address) of Violation: /69g drca,e,c
Phone Number: Property Owner/Manager:
Request Taken by: Investigator: ^
Action Taken: i/� 6,LX�&) y4S�cP4.6 42—(
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Compliance: 3/y // C ‘
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009