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HomeMy WebLinkAbout972425RESOLUTION RE: AUTHORIZATION FOR THE WELD COUNTY ATTORNEY TO PROCEED WITH LEGAL ACTION AGAINST NADINE LANGLEY FOR VIOLATION OF THE WELD COUNTY BUILDING CODE AND ZONING ORDINANCES WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, Nadine Langley, VI #9700143, is allegedly in violation of the Weld County Building Code and Zoning Ordinances, and WHEREAS, despite efforts by the Planning staff to resolve said matter, the violation has not been corrected, and WHEREAS, on the 18th day of November, 1997, a public hearing was held before the Board of County Commissioners for the purpose of hearing testimony relating to said violation, and WHEREAS, Nadine Langley, property owner, was not present or represented at said hearing, although all parties were notified of said hearing by Department of Planning Services staff, and WHEREAS, the Board deems it advisable to bring legal action against the individual as hereinabove named to correct said violation. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Weld County Attorney be, and hereby is, authorized to proceed with legal action against Nadine Langley to remedy the violation of the Weld County Building Code and Zoning Ordinances, and any other persons occupying the properties, any persons claiming an interest in the properties, and any persons acting in active concert with the identified party. 972425 PL0824 VI #9700143 - LANGLEY PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of November, A.D., 1997. APPROVE iAS/TO FORM: y Attorn y BOARD OF COUNTY COMMISSIONERS WELD QOUNTY, COLQRADO George e Baxter, Chair Constance L. Harbert. Pro Dal,K. Hall % Barbara J. Kirkmeyer j", W. H. Webster" 972425 PL0824 Mr'P E�E RMt I T S Id: MISC120 Keyword: @ACTM User: JCHESTER Additional Notations for Inspection item: 00400 Permit No: VI -9700143 Owner: LANGLEY NADINE Status: ISSUED Address: 3715 LARSON AV EVJ 11/17/97 Violation Line Insp. Date Text 1 11/17/97 THE PROPERTY WAS INSPECTED TO DETERMINE COMPLIANCE WITH THE 2 11/17/97 WELD COUNTY ZONING ORDINANCE AND BUILDING CODE ORDINANCE. 3 11/17/97 THE PROPERTY IS STILL NOT IN COMPLIANCE. THERE IS A MOBILE 4 11/17/97 HOME LOCATED ON THE PROPERTY WITHOUT THE APPROPRIATE PERMITS 5 11/17/97 AND IT APPEARS TO BE LIVED IN. THERE IS ALSO A NCJY ON THE 6 11/17/97 PROPERTY CONSISTING OF DERELICT VEHICLES, APPLIANCES AND 7 11/17/97 OTHER MISCELLANEOUS DEBRIS. TO BRING THE PROPERTY INTO 8 11/17/97 COMPLIANCE THE MOBILE HOME MUST BE REMOVED OR THE 9 11/17/97 APPROPRIATE PERMITS OBTAINED AND THE NCJY MUST BE REMOVED OR 10 11/17/97 SCREENED FROM ALL ADJACENT PROPERTIES AND PUBLIC RIGHTS OF 11 11/17/97 WAY. 12 11/17/97 JULIE CHESTER, ZONING COMPLIANCE OFFICER Enter Option: A=Add, C=Change, D=Delete, I=Inspe Up/Down=Select, PgUp/PgDn(F2)=Page, F3=First 12, ESC=Exit Comment Added O.K. 972425 DATE: November 13, 1997 VIOLATION NUMBER: VI -9700143 NAME: Nadine Langley ADDRESS: Violation: 3715 Larson Avenue, Evans Mailing: 501 Broad Street, Milliken, CO 80543 LEGAL DESCRIPTION: Alf SE4 of Lot 1, NW4/NW4 of Section 30, Township 5N, Range 65W Weld County, Colorado PARCEL NUMBER: 096130206022 CASE SUMMARY: September 5, 1997 September 5, 1997 September 5, 1997 September 10, 1997 September 22, 1997 October 24, 1997 October 27, 1997 Initial complaint received and referred to Julie Chester, Zoning Compliance Officer. Initial inspection of the property. Property is not in compliance. Five day encouragement compliance letter sent to the property owner. Progress inspection of the property. Property is still in violation. Thirty day violation notice sent to the property owner. Progress inspection of the property. Property is still in violation. Letter sent to the property owner indicating that the violation was scheduled before the Board of County Commissioners. The mobile home and noncommercial junkyard is still located on the property, therefore is a violation of Sections 31.2, 31.2.1, 31.2.16, 31.3.9 and 43 of the Weld County Zoning Ordinance and Section 70 of the Weld County Building Code Ordinance. To bring the property into compliance the mobile home and the noncommercial junkyard must be removed from the property or the appropriate permits may be obtained for the mobile home and the noncommercial junkyard could be screened from all adjacent properties and public rights of way. The Department of Planning Services also recommends that the County Attorney authorize legal action against any other persons occupying the properties, any persons claiming an interest in the properties, and any persons acting in active concert with the identified parties. 44Ect 1111lie COLORADO October 27, 1997 Nadine Langley 501 Broad Milliken, CO 80543 DEPARTMENT OF PLANNING SERVICES PHONE (970) 353-6100, EXT.3540 FAX (970) 352-6312 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 Subject: VI -9700143 Legal Description: All of the SE4 of Lot 1, NW4/NW4 of Section 30, Township 5N, Range 65W..., Weld County, Colorado Dear Ms. Langley: The property referenced above remains in violation of the Weld County Zoning Ordinance. I have scheduled a meeting with the Board of County Commissioners on November 18, 1997 at 10:00 a.m. to consider the violations occurring on the property. This meeting will take place in the County Commissioners' Hearing Room, first floor, Weld County Centennial Center, 915 Tenth Street, Greeley, Colorado. It is recommended that you or a representative be in attendance to answer any questions the Board of County Commissioners might have about the violations. The Department of Planning Services' staff will be recommending that the Board of County Commissioners authorize the County Attorney to proceed with legal action to remedy the violation. Our records indicate that you were made aware of the nature of the violation, the action necessary to correct the violation, and that you were given sufficient time to remedy the violation. If you have any questions concerning this matter, please call me. Sincerely, Julie Chester Zoning Compliance Officer pc: VI -9700143 PERMITS Id: MISC120 Keyword: @ACTM User: JCHESTER Additional Notations for Inspection item: 00400 Permit No: VI -9700143 Owner: LANGLEY NADINE Status: ISSUED Address: 3715 LARSON AV EVJ 10/27/97 Violation Line Insp. Date Text 1 10/24/97 THE PROPERTY WAS INSPECTED TO DETERMINE COMPLIANCE WITH THE 2 10/24/97 WELD COUNTY ZONING ORDINANCE, SECTIONS 31.2, 31.2.1, 31.2.16 3 10/24/97 31.3, 31.3.9 AND 43 AND SECTION 70 OF THE WELD COUNTY 4 10/24/97 BUILDING CODE ORDINANCE. THERE IS A MOBILE HOME ON THE 5 10/24/97 PROPERTY WHICH IT APPEARS THAT SOMEONE IS LIVING IN WITHOUT 6 10/24/97 THE APPROPRIATE PERMITS. THERE IS ALSO A NONCOMMERCIAL 7 10/24/97 JUNKYARD ON THE PROPERTY WHICH NEEDS TO BE REMOVED OR 8 10/24/97 SCREENED FROM ALL ADJACENT PROPERTIES AND PUBLIC RIGHTS OF 9 10/24/97 WAY. 10 10/24%97 JULIE CHESTER, ZONING $QNeLIANCE OFFICER Enter Option: /A=Add, C=Change, D=Delete, VI=Inspect Up/Down=Select, PgUp/PgDn(F2)=Page, F3=First 12, ESC=Exit Comment Added O.K. REPT131 WELD COUNTY, CO 10/21/97 16:10 REQUESTS FOR INSPECTION WORK SHEETS FOR:10/22/97 PAGE 1 AREA: JAC Time Exp Activity: VI -9700143 10/22/97 Type: VIO Status: ISSUED Constr: VI Address: 3715 LARSON AV EVJ Location: 3715 LARSON AVENUE, EVANS Parcel: 0961 30 206022 Occ: Use: Description: COMPLAINT: MOBILE HOME W/0 PERMITS Applicant: Phone: Owner: LANGLEY NADINE Phone: Contractor: Phone: Inspection Request Information Requestor: JULIE CHESTER Phone: X3549 Req Time: Comments: THIRTY DAY FOLLOW UP INSPECTION Items requested to be Inspected... Action Comments 00400 SITE INSPECTION BPS _ Inspection History Item: 00405 LETTER 09/05/97 Inspector: JAC Action: VI FIVE DAY LETTER SENT 09/22/97 Inspector: JAC Action: VI VIOLATION NOTICE SENT Item: 00400 SITE INSPECTION 09/05/97 Inspector: JAC Action: VI INITIAL INSPECTION Notes: THE PROPERTY WAS INSPECTED TO DETERMINE COMPLIANCE WITH T WELD COUNTY ZONING ORDINANCE, SECTIONS 31.2, 31.2.1, 31.2 AND 43. THE PROPERTY IS NOT IN COMPLIANCE AT THIS TIME. THERE IS A MOBILE HOME ON THE PROPERTY WITHOUT THE APPROPRIATE PERMITS. TO BRING THE PROPERTY INTO COMPLIAN THE MOBILE HOME MUST BE REMOVED FROM THE PROPERTY OR THE APPROPRIATE PERMITS MUST BE OBTAINED. JULIE CHESTER, ZONING COMPLIANCE OFFICER 09/10/97 Inspector: JAC Action: VI PROGRESS INSPECTION Notes: THE PROPERTY WAS INSPECTED TO DETERMINE COMPLIANCE WITH T WELD COUNTY ZONING ORDINANCE, SECTIONS 31.2, 31.2.1, 31.2 31.3.9 AND 43. THE PROPERTY IS NOT IN COMPLIANCE AT THIS TIME. THERE IS A MOBILE HOME LOCATED ON THE PROPERTY WIT OUT THE APPROPRIATE PERMITS AND THERE IS A NONCOMMERCIAL JUNKYARD LOCATED ON THE PROPERTY. TO BRING THE PROPERTY INTO COMPLIANCE THE MOBILE HOME MUST BE REMOVED FROM THE PROPERTY OR THE APPROPRIATE PERMITS OBTAINED AND THE NON- COMMERCIAL JUNKYARD MUST BE REMOVED OR SCREENED FROM ALL ADJACENT PROPERTIES AND PUBLIC RIGHTS OF WAY. JULIE CHESTER, ZONING COMPLIANCE OFFICER DEPARTMENT OF PLANNING SERVICES PHONE (303) 353-6100, EXT.3540 FAX (303) 352-6312 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 WELD COUNTY ZONING and BUILDING CODE VIOLATION NOTICE September 22, 1997 Violation Number : VI -9700143 Nadine Langley 501 Broad Milliken, CO 80543 Legal Description : All of the SE4 of Lot 1, NW4/NW4 of Section 30, Township 5N, Range 65W.., Weld County, Colorado The uses on the above described property are being considered as a zoning violation of Section 31.2, 31.2.1, 31.2.16, 31.3.9 and 43 of the Weld County Zoning Ordinance and Section 70 of the Weld County Building Code Ordinance. This is not a use allowed by right in the Agricultural zone district. The violation can be corrected by removing the mobile home from the property or obtaining the appropriate permits for the mobile home. All items considered part of a noncommercial junkyard must be removed from the property or visibly screened from all adjacent properties and public rights of way. If screening is to be used a detailed screening plan must be submitted to and approved by the Department of Planning Services prior to installation. It is the intention of this office to assist and cooperate with you without imposing undue hardships; however, we have no discretion in this matter if you fail to correct this violation. You have 30 (Thirty) days from September 22, 1997 to correct this violation. Failure to do so will result in this office scheduling the violation before the Board of County Commissioners to consider whether to refer the violation to the County Attorney's office for legal action. Any information you have that may help to resolve this matter will be helpful. This office is ready to be of any assistance in clarifying or answering questions concerning this matter. Please call or write the Department of Planning Services' office. Sincerely, Julie Chester Zoning Compliance Officer pc: VI -9700143 Dave Sprague, Lead Building Inspector SERVICE, TEAMWORK, INTEGRITY. QUALITY PERMITS Id: MISC120 Keyword: UACT User: JCHESTER Additional Notations for Inspection item: 00400 Permit No: VI -9700143 Owner: LANGLEY NADINE Status: ISSUED Address: 3715 LARSON AV EVJ 09/22/97 Violation Line Insp. Date Text 1 09/10/97 THE PROPERTY WAS INSPECTED TO DETERMINE COMPLIANCE WITH THE 2 09/10/97 WELD COUNTY ZONING ORDINANCE, SECTIONS 31.2, 31.2.1, 31.2.16 3 09/10/97 31.3.9 AND 43. THE PROPERTY IS NOT IN COMPLIANCE AT THIS 4 09/10/97 TIME. THERE IS A MOBILE HOME LOCATED ON THE PROPERTY WITH - 5 09/10/97 OUT THE APPROPRIATE PERMITS AND THERE IS A NONCOMMERCIAL 6 09/10/97 JUNKYARD LOCATED ON THE PROPERTY. TO BRING THE PROPERTY 7 09/10/97 INTO COMPLIANCE THE MOBILE HOME MUST BE REMOVED FROM THE 8 09/10/97 PROPERTY OR THE APPROPRIATE PERMITS OBTAINED AND THE NON - 9 09/10/97 COMMERCIAL JUNKYARD MUST BE REMOVED OR SCREENED FROM ALL 10 09/10/97 ADJACENT PROPERTIES AND PUBLIC RIGHTS OF WAY. 11 09/10/97 JULIE CHESTER, ZONING COMPLIANCE OFFICER Up/Down=Select, PgUp/PgDn(F2)=Page, F3=First 12, ESL=Exit Comment Added O.K. /Nr 11111De. COLORADO September 5, 1997 Nadine Langley 501 Broad Milliken, CO 80543 DEPARTMENT OF PLANNING SERVICES PHONE (303) 353-6100, EXT.3540 FAX (303) 352-6312 WELD COUNTY ADMINISTRATIVE OFFICES 1400 N. 17TH AVENUE GREELEY, COLORADO 80631 Subject: VI -9700143 Legal Description: All of the SE4 of Lot 1, NW4/NW4 of Section 30, Township 5N, Range 65W..., Weld County, Colorado Parcel: 096130206022 Dear Mrs. Langley: It has come to the attention of the Department of Planning Services' staff that the uses on your property (3715 Larson Avenue, Evans) may not be in compliance with the Weld County Zoning Ordinance and Building Code Ordinance. The potential noncompliance is a mobile home located on the property without the appropriate permits. Please call me within five working days of the date of this letter to review the concerns with me. Sincerely, Julie Chester Zoning Compliance Officer pc: VI -9700143 Dave Sprague, Lead Building Inspector SERVICE, TEAMWORK, INTEGRITY, QUALI IN PERMITS Id: MISC120 Keyword: AACT User: JCHESTER Additional Notations for Inspection item: 00400 Permit No: VI -9700143 Owner: LANGLEY HUGH & NADINE Status: COMPLNT Address: 3715 LARSON AV EVJ Line 1 2 3 4 5 6 7 8 Insp. Date Text 09/05/97 09/05/97 09/05/97 09/05/97 09/05/97 09/05/97 09/05/97 09/05/97 09/05/97 Violation THE PROPERTY WAS INSPECTED TO DETERMINE COMPLIANCE WITH THE WELD COUNTY ZONING ORDINANCE, SECTIONS 31.2, 31.2.1, 31.2.16 AND 43. THE PROPERTY IS NOT IN COMPLIANCE AT THIS TIME. THERE IS A MOBILE HOME ON THE PROPERTY WITHOUT THE APPROPRIATE PERMITS. TO BRING THE PROPERTY INTO COMPLIANCE THE MOBILE HOME MUST BE REMOVED FROM THE APPROPRIATE PERMITS MUST BE OBTAINED. JULIE CHESTER, ZONING COMPLIANCE OFFICER ciAL Enter Option: A=Add, C=Change, D=Delete, I=Inspect PROPERTY OR THE Up/Down=Select, PgUp/PgDn(F2)=Page, F3=First 12, ESC=Exit Comment Added O.K. Permit No VI -9700143 COMPLAINT DATA SHEET 09/05/97 Page: 1 12:07 Data: Full Description Description: COMPLAINT: MOBILE HOME W/O PERMITS Data: Process Tables Screen No: 01 Base Information Parcel No: 0961 30 206022 Owner: LANGLEY HUGH & NADINE Status: COMPLNT Written By: JAC Sec/Twn/Rng: 30 05 65 Description: COMPLAINT: MOBILE HOME W/O PERMITS Location: 3715 LARSON AVENUE, EVANS Zoning Dist: AGRICULTURAL Permit Num: App Type: VI (BCV=BLDNG VIO, VI=ZONING VIO, WCV=WELD V10 "bcv + vi") Class Code: VI -1 mobile home(s) Complaint: 09/05/1997 Init: JAC NO VI: 00/00/0000 !nit: 5 Day Letter: 09/05/1997 Init: JAC Issued: 00/00/0000 Init: Inspection: 09/05/1997 Init: JAC BCC Vio: 00/00/0000 Init: Court: 00/00/0000 Init: Closed BCV: 00/00/0000 Init: Closed VI: 00/00/0000 Init: Screen No: 02 Zoning Information Parcel No :0961 30 206022 Legal Descr:13443 ALL SE4 L1 NW4NW4 30 5 65 EXC N30' & S125' 73715 LARSO Owner Name :LANGLEY HUGH & NADINE Date:00/00/0000 Verified: Setbacks N: S: E: W: Req by Zoning Sec Twn Rng:30 05 65 Notes: Zoning Dist:AGRICULTURAL Acres .00 ** 1=Yes, 2=No, 3=Appr/Cond Met, 4=Appr/Cond Not Met ** Legal Lot 1 Site Plan Review SPR Prior to Zoning Yr 9 Board of Adjustment BOA C 80 Acres 1 Non -Conforming Use NCU Rec Exemption RE 1 Flood Hazard Dev FHDP Sub Exemption SE 1 Geological Hazard GHP Use Spec Review USR 1 Accessory Dwelling ZPAD Planned Unit Dev PUD Y Subdivision S 1 Change of Zone COZ 1 Violation VI Screen No: 03 Violation Letter Text Use this screen to add text to be merged with violation letters. For all letters - Dear... : (include ',') For all letters - My Name: My Title: Permit Num: Permit No VI -9700143 COMPLAINT DATA SHEET 09/05/97 Page: 2 12:07 Data: Process Tables Continued... Ordinance Section: For Case Summary - To bring property into compliance... Data: People OWNER LANGLEY HUGH 8 NADINE 09/05/97 501 BROAD MILLIKEN CO 80543 Data: Conditions Data: Comments Data: Inspections Item: 00404 TELEPHONE CALL Dept: Division: Item: 00405 LETTER Dept: Division: 09/05/1997 JAC Action: VI FIVE DAY LETTER SENT Time: 00:05 Item: 00400 SITE INSPECTION Dept: Division: 09/05/1997 JAC Action: VI INITIAL INSPECTION Time: 00:20 Item: 00406 OFFICE VISIT Dept: Division; Data: Approvals Item: 00001 Building Department Dept: BUILDING Division: Item: 00002 Planning Department Dept: PLANNING Division: Data: Locks, Holds, Notices Data: Addresses 3715 LARSON AV EVJ 09/05/97 Data: Parcels 096130206022 / / FRAME 0482 DIN] I lilt 'RT-(OLNI1 OI AAlI.O-1 t'I I'KAi't' Cast: No. 'I,-( V' -1P! LIS I'hNI)F V S UUtLARD DiCote (osIMIshioNI tit TUC (MINll OI 111=1 U. stAll c!` COLO12ADo. Petitioner, f{l'Li11 L ANtil FA mint NADINE L \N(ILL\. Respondents. NO'fICC IS (LIVEN that it co 0 action Isis hvell sontmeticed and is pending in the Weld Comityo nimi sionecl tW1 tinder Cial Action No. ()L ji/'1 the Baud of Cuuut). ('unuuisstoucrs of the County of Weld is named . th. Pctit'onei. and I Iugh Langley and Nadine I angley arc named as the Respondents The object of this civil action is to obtain a prelinuttaij and pcnitaucnt injunction preventing the use and enjoyment of a parcel of real propett) in a manner contrary to Cowin regulations told State la's. The parcel of re.tl proper affected by the Cp. action's described to follot's. to -stir All SE4 el Lot I. N\1V \ W4 of so. twit 111.1\ns nship 5N. Range 65W. mai NW and 512S' of the out, P NI . Wcid I bait), Colotado l)A FED this _JS da) of jlt 44th . Pont. it 'AR() ill COUNTY COMMISSIONERS DI I Ilb COL N -I Y111 WELD. SI ATE OF rt'I ' 9)\ l g 111(1 tl-1 \RASA IL \1T1 tit tii'N.11 4I It'1RNEY 141 067 Li); 1 f E I) MORRISON aXU6 \esistain Weld b omits Altorne\ qt., I moll Shea I' AI Ili. 1948 On.cles. Cry X061' ;alit tit. WWI I V. -1141 2482428 R-1519 P -1X5 03/25/% 01. LUF Is; 1 OF 1 Rotel Cr:unLy ('0 Clerk S Rccordcr RFC 11(10 0 00 IIESIm Ti II1111.1111 FRAME 0483 PERMITS Id: ASSR1OOM Keyword: @ASSRD User: JCHESTER Parcel General Information Maintenance 09/05/97 General Parcel Data Maint - Action: Inspect a Record Parcel No: 0961 30 206022 Status: A Active Retired(Y/N): N Street Address: 3715 Dir: St: LARSON AV Situs Location: 3715 LARSON AV EVANS Legal Desc: 13443 ALL SE4 L1 NW4NW4 30 5 65 EXC N30' & S125' Acres: 1.16 X-COORD: Y-COORD: Tax Rate Area: 0639 Assr Use Code: 4007586 Assessed/Exempt: Pub Owned(Y/N): N Primary Owner: LANGLEY HUGH & NADINE Phone: Mailing Addr: 501 BROAD MILLIKEN CO Contract Owner: Percent/Ownership: .00 Zip: 80543 *** Press any key to continue *** PERMITS Id: ASSR100D Keyword: BASSRD User: JCHESTER Parcel Legal Description Maintenance Parcel Legal Description - Action: Inspect 13443 ALL SE4 L1 NW4NW4 30 5 65 EXC N30' & S125' %3715 LARSON AVE% Rg Ts Sec : 650530 City: EVJ 09/05/97 Page: 1 Parcel: 0961 30 206022 Use: 4007586 Owner: LANGLEY HUGH & NADINE Situs: 3715 LARSON AV EVANS Acres: Legal: 13443 ALL SE4 L1 NW4NW4 30 5 65 EXC N30' & S125' _F2¢Next Page, F3tPrev Page, ESCeExit 1.16 ‘�ts\ &titieIO W11D e COLORADO DEPARTMENT OF PLANNING SERVICES COMPLAINT REPORT C ZSINING COMPLAINT Complaint Inflated by: UILDING CODE COMPLAINT ❑ Staff .'Citizen a Other LEGAL DESCRIPTION: VIOLATION ADDRESS: 73 7- / 111 /1,f lJ-r zLAA J 40 Seq / /"A.O / tog 3c --S Parcel # O96 / 30 the 3 3 ATTACH COPY OF DEED Property Owner's Name: /� li_GL�-a LJ +CtY yt Phone # Property Owners Address: C / z e 7 fief)/ /%CO(' e4e pT U Tenants Name and Mailing Address: �1' 5,/,3 NATURE OF COMPLAINT: /2101 P 42- Zoning Complaint Referred To: Llf� Date: Building Code Complaint Referr Date: Case Assigned To: C Date: ACTION OF INVESTIGATOR: Inspection of property indicates: Date of Inspection: L'C> 1 XL rruYS o No violation of the Weld County o Zoning / o Building Code Ordinance Referred to: on a No violation of the Weld County a Zoning / a Building Code Ordinance olations of the following Sections of toning fie. d 1 • / , 3 / z 11, g.Buiifding Code Ordinance `D ACTION ON COMPLAINT: o No Action TakenMo Violation Vfolationfilp Ste • ed Date Date V / CASE REVIEWED BY SUPERVISOR Date SUPERVISOR'S COMMENTS NOTE: Attach all pertinent information and facts disclosed by investigation to this form. 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