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Compliance Investigation Form
Investigation# 0 1-1 I t Date of Request: I I it (it Time of Request: I',ov
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Name of Person Making Request: . c� —,
Address: Phone#
Investigation Type: _
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Location (Address) of Violation: /.0/ i31G /61
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Phone Number: Property Owne anager: 6,1145ry
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Request Taken by: Investigator: , \ 4,_
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Action Taken: CSY tiv.�� <'. K n. �C1.t `) 1�.tTt. � Q.." >u Ci.o
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Compliance: /7/.D//
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009