CE 1369 Rose Street 2010 its
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.4vJ'31'V Compliance Investigation Form
Investigation# .: 6 0 I C9 Date of Request: ki—/ -w Time of Request:
Name of Person Making Request: P- Lo(ie-1-
Address: Phone#
Investigation Type:
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06 (417 ‘
Location (Address) of Violation: t3L !'`OSI—
Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
Action Taken:
Compliance:
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009