Complaint Form

Address of Violation

Street Address Address Line 2 City State ZIP Code

Property Owner

First Last

Is this a Rental Property

Yes

Name of Tennant

First Last

Check Appropriate Boxes

Junk or Inoperable Vehicle

Litter

Noxious Weeds

State Construction Code (International Property Maintenance Code) Building Codes

Zoning

Short Term Rental

Other

Please Describe(Required)

Nature of Complaint

Complainant Name(Required)

First Last

Phone(Required)

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