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Home
Residential Code Violation Complaint Form
Your information
Your Name
(Last, First)
Street Address
City, State, Zip
Phone
E-mail
College Student?
Yes
No
Relationship to property
Occupant, neighbor, concerned citizen?
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
or
to begin again