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Compliance Investigation Form
Investigation# 1 16 Date of Request: I 1131 t h Time of Request: 1 p ;5d
Name of Person Making Request: 7h
Address: Phone#
Investigation Type:
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Location (Address) of Violation: Alb & , .. 0---- 1 nayt iN
Phone Number: Property Owner/Manager:
Request Taken by: Investigator: z_ ,.
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Compliance: \ 1 \ \,'�A 10 C , 111510
Legal Description: RE#:
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FORIDP •
•
CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Seminole Road
Atlantic Beach, Florida 32233
PHONE: 247-5855
-----------------
• COURTESY
'
lNOTICE OF VIOLATION
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DATE TIME I 0 •
owNERIOCCUPANT
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A v)FESS
THE INSPECTION MADE OF THE ABOVE PREMISES
• THIS DATE DISCLOSED RE IN VIOLATION OF
ORDINANCE: C
-I 4 • .1P A C 30 •
OF THE CODE OF THE CITY OF ATLANTIC BEACH,
FLORIDA.
YOU CAN COMPLY BY
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THIN /� D- SOF THIS NOTICE
THIS 1S 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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CODE ENFORCEMENT OFFICER
RECEIVED BY ,s .