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Code Enforcement Complaint

2. Date
   Date

   Date

4. Reported By

6. Name

7. Address

8. Phone

10. Property in Violation

12. Property Address

13. Directions

15. Specific Description of Complaint / Comments or Remarks

Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

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