CE 1369 Rose Street 2012 (3) T\uJ-r
i.-4 J'i'') Compliance Investigation Form
Investigation# 10 (,1 Date of Request: _ Time of Request: /. _:?e,)
Name of Person Making Request: c>1/(/i
Address: Phone#
Investigation Type:
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Location (Address) of Violation: /3/0 9 lT :, t:Lii j
Phone Number: Prope Owne /Manager: J/' 2( >G_ i4-z j
Request Taken by: Investigator: ,":66
Action Taken: , E U i(Y L t2-e-j J C2 d -e-e
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Compliance: 0/j, `<
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Legal Description: C., RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009