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CITY of PALM DESERT
Department of Building and Safety
73510 Fred Waring Dr. Palm Desert, CA 92260
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INVESTIGATION REQUEST FORM
Case #
Date: Time: Taken by:
Address where complaint exists:
Name of Complainant: Phone No:
Property Owner:
□ Owner occupied □ Tenant occupied □ Vacant/abandoned
Tenant Name: Phone No:
Disposition of investigation: