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Investigation# L(9 (0 Date of Request: 14--/—/ v Time of Request:
Name of Person Making Request: . �pt. 1_
Address: Phone#
Investigation Type:
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Location
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Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
Action Taken:
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Compliance:
, Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009
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CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Seminole Road
Atlantic Beach,Florida 32233
PHONE: 247-5855 IIII
COURTESY
NOTICE OF VIOLATION
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DATE > - :,2 y
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OWNER/OCCUPANT
2-5. 1 A iii l4A) I(Cit-
ADDRESS
THE INSPECTION MADE OF THE ABOVE PREMISES
THIS DATE DISCLOSED YOU WERE IN VIOLATION OF
ORDINANCE:
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OF THE CODE OF THE CITY OF ATLANTIC BEACH,
FLORIDA. �' /
YOU CAN COMP Y BY�� ' ,74 4
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WITHIN i° 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 CODE ENFORCEMENT OFFICE.
P ).....
CE#
C )E ENFORCEMENT OFFICER
RECEIVED BY