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Residential Complaint or Code Violation Form
Your information
Name:
Your Address:
City/State/Zip:
Phone:
Email Address:
College Student?
Yes
No
Relationship to Property (owner, neighbor, concerned citizen):
Complaint or Code Violation
Type of Violation:
fire safety
garbage
high grass
housing condition
junk vehicle
no heat
no electricity
open burning
over occupancy
parking
sidewalk not shoveled
water related
vermin infestation
other
Description of Violation:
Street Address:
Apt. No.:
Rental Housing:
Yes
No