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Compliance Investigation Form
Investigation# </O Date of Request: /- \--' ( ° Time of Request:
Name of Person Making Request: . 4j4, 1.-
Address: Phone#
Investigation Type: /
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Location (Address) of Violation: C( A-70144-i L
Phone Number: Property Owner/Manager: CD r 1 o S Gcn Z a )e Z
Request Taken by: Investigator: 33c y SfreC
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Action Taken: tDOSi*cC , ,
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Compliance: //76)//b
Legal Description: RE#: /17/f/8-Sam
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009
AloRIOP
CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Seminole Road
Atlantic Beach, Florida 32233
PHONE: 247-5855
COURTESY
NOTICE OF VIOLATION
l
DATE - �I V TIME
/ OWNER
& '
ADDRESS
THE INSPECTION MADE OF THE ABOVE PREMISES
THIS DATE DISCLOSED YOU WERE IN VIOLATION OF
ORDINANCE: /�?eC.
1N 74� ��, /�/1
OF THE CODE OF THE CITY OF ATLANTIC BEACH,
FLORIDA. 414YOU CAN C MPLY BY /c
46-WITHIN DAYS OF THIS NOTICE
THIS IS A COURTESY NOTICE IN ORDER TO MAKE
YOU AWARE OF A VIOLATION OF THE CITY CODE
OF ATLANTIC BEACH. IF YOU HAVE ANY QUESTIONS
OR WOULD LIKE ADDITIONAL INFORMATION
PERTAINING TO THIS NOTICE, PLEASE CALL
ATLANTIC BEACH ODE ENFORCEMENT OFFICE.
CO ENFORCE.MI:XT OFFICE
RECEIVED BY