CE 94 Robert Street 2010 Jam: i J�',�
MI
Compliance Investigation Form
Investigation# /5'3/0 Date of Request: �- /�'� Time of Request:
Name of Person Making Request: . 6/2
Address: Phone#
Investigation Type:
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Location (Address) of Violation: 7c/ /gi/ /1 J7
Phone Number: Property Owner/Manager:
Request Taken by: n/ / Investigator:
Action Taken: C! Val,/G J C,
Compliance: f","*4"
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009