CE 1335 Rose Street 2010 Aii:
Compliance Investigation Form
Investigation# c -5 (D Date of R uest: Time of Request:
Name of Person Making Request: ZIO/L .
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Address:
Address: Phone#
Investigation Type.:,
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Location (Address) of Violation: /3 3S ) 'a-e s-i--
Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
Action Taken:
Compliance:
Legal Description: RE#:
F:1Code Enforcement\Compliance Investigation Form.doc Oct 9 2009