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Compliance Investigation Form
Investigation# 02`/5/0 Date of Request: "e— l — ` ") Time of Request:
Name of Person Making Request: pe L
Address: Phone#
Investigation Type:
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Location
(Address) of Violation: Li DS //--61/ A//2#9vx A--
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
COURTESY
NOTICE OF VIOLATION
DATE 3'9-V---/o TIME
(OWNER/OCCUPANT
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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 BEPtejte / +-d
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WITHIN ! v 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.
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COIR(:F...fENT OFFICER
RECEIVED BY