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Compliance Investigation Form
Investigation# Co 0 a/0 Date of Request: �'.�� '/2Tim_e of Request:
Name of Person Making Request:
Address: Phone#
Investigation Type:
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Location (Address) of Violation: ,2-2-C) / //,- ' 1, '/ r G/v
Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
Action Taken: / fI d� ,
Compliance: r3///016
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Legal Description: GICe RE#:
F:\CDde Enforcen:ent\Comniisnce Investigation Form.doe Oct 9 2009
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• CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Seminole Road
Atlantic Beach, Florida 32233
• PHONE: 247-5855
COURTESY
NOTICE OF VIOLATION
DATE 2-2 l° TIME /ac 9CAL—
OWNER/OCCUPANT /4
9 /v`/r-.'A ✓/ f (_-/c./ADDRESS
THE INSPECTION MADE OF THE ABOVE PREMISES
•
THIS DATE DISCLOSED YOU WERE IN VIOLATION OF
ORDINANCE: y0 2,
OF THE CODE OF THE CITY OF ATLANTIC BEACH,
FLORIDA.
YOU CAN COMPLY BY? I&e 100,0
qiird
WITHIN / DAYS OF THIS NOTICE
THIS 1S 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 CODE ENFORCEMENT OFFICE.
- CES
(:ODE ENFORCEMENT OFFICER
RECEIVED BY