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Code Enforcement Request Form

Complainants remain anonymous throughout the investigation. However, contact information is required in the event further investigation and follow-up is necessary.

Address (or General Area of Violation

Date Observed

Owner / Occupant's Name (if known)

Owner's Address (if known)

Owner's City (if known)

Owner's Zip Code (if known)

Owner's Phone Number (if known)

Nature / Description of Complaint

Name

Address

City

Zip Code

Email Address

Phone Number

Current Date