CE 456 Skate Road 2017 '0
-:\ •.44.13 �r Compliance Investigation Form
Investigation# Date of Request: al 3 O/�`I'ime of Request: /Z. -'3 eyt
Name of Person Making Request: a VC.4. t\ri
Address: t-1.aD 1 -C;ke kcj Phone# RC>i'" g I - ,?.. ii S
Inves 'ration Type:
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Location (Address) of Violation: '17/6L/ j ol , _ r,0
Phone Number: Property Owner/Manager: ? H S( S4
Request Taken by: Investigator:
Action Taken:
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Compliance:
0 Legal Description: R.E.;
':\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009