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Compliance Investigation Form
Investigation# �� 1 l Date of Request: / 0(3/a Time of Request: eCJ
Name of Person Making Request: ) a .l ( -67V( )
Address: Phone#
Investigation Type:
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Location (Address) of Violation: A3
Phone Number: Property Owner/Manager:
Request Taken by: Investigator: C C
Action Taken: -A/64° £ X It, t'Z t l//(
Compliance: jaz1/40
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Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009
CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Seminole Road
Atlantic Beac 2233
PHO : 247-5855
COURTESY
NOTICE OF VIOLATION
DATE /A.3/4.0 TIME �� 13
OWNER IOCCUPANT
/3 4
ADDRESS
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 BY ' ice! '•
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WITHIN 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.
CC
CODE ENFORCEMENT OFFICER
RECEIVED BY