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Compliance Investigation Form
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Name of Person Making Request: r
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Investigation Type: `
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Location (Address) of Violation: '77'' Q//✓ 54"
Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
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Action Taken:
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Compliance:
Legal Description: RE#:
F:1Code Eaforcement\Ccmpiiaace Ic eszigat:oa Fo m.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
COURTESY
NOTICE OF VIOLATION
DATE 5 13J TIME I*
n ,AO/WWN�ER I OCCUPANT
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 COMPLY BY 1eef•c�/j�
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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 CODE ENFORCEMENT OFFICE.
CE#
CODE ENFORCEMENT OFFICER
RECEIVED BY