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2. Please fill out the form as completely as possible. Missing information could result in the inability to confirm the existence of a violation. A street address is preferred and allows us to check pertinent information prior to making a field inspection.
4. ADDRESS OR LOCATION OF VIOLATION
6. Owners Name (If Known)
8. Address of location of nuisance
10. If the address is not known, please explain the location of the nuisance:
12. Type of Violation

    1. Tall Grass
    2. Junk or Trash
    3. Abandoned or Distressed Structure
    4. Abandoned Vehicles
    5. Other
14. If other, please explain
16. Describe the Violation
18. Your Information
    This information is required and is necessary so that we may contact you with any question regarding your complaint. We will not give out this information during the investigation of complaints. Please advise if you do not want to be contacted.
20. Name
21. Email Address
23. Address
25. Phone Number
27. I would like to be contacted for follow up.

    1. Yes
    2. No
    3. Contact by e-mail only
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field