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CE 175 Magnolia Street 2010 rl' J_ 1-11,7'4.; Compliance Investigation Form Investigation# SODate of Request: OTime of Request: Name of Person Making Request: � 2- Address: Phone# Investigation Type: (V le- 3 D? . +1tC'e Ufr1U/44.4h dee--- ,L 44`1-4 7,yri IA, 1-1-k 61 A V-er- a I ( 4PhonLocation (Address) of Violation: /7 r 41- Phone e Number: Property Owner/Manager: Request Taken by: Investigator: Action Taken: Compliance: Legal Description: RE#: F:1Code Enforcement\Compliance Investigation Form.doc Oct 9 2009