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Compliance Investigation Form
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Investigation# 3 ( ( '7
0 Date of Request: ' S+/`7 Time of Request:
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Name of Person Maldng Request: C Tl L
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Address: Phone#
Investigation Type: _
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Location (Address) of Violation: /63? iii✓ f'-k
Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
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Action Taken: V,,-t la G.,,,,v-e t I,IN.Q 4-r-�- f►'l� ,fig MA d• 0. W
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Compliance:
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009