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2. Complainant’s Information
4. The complainants name and contact information can be submitted anonymously.
6. Complainant’s First Name
7. Complainant’s Last Name
9. Complainant’s Address
11. City
12. State
13. Zip Code
15. Complainant’s Phone Number
17. Complainant’s Email Address
19. Suspected Violation Information
21. Today's Date*
    Today's Date
23. Date of Suspected Violation
    Date of Suspected Violation
25. Property Address/Location*
27. City*
28. State*
29. Zip Code*
31. In accordance with the Freedom of Information Act, all correspondence, including this complaint, may be considered public information and available for public view. You are not required to provide your name for purposes of the filing of a suspected violations Investigations Request form.
33. Property Owner Name (If Known)
35. Name/Company Committing Suspected Violation (Other Than Owner)
37. Violation Type: Please indicate suspected violation type and give details below:*

    1. Building without permit
    2. Unsafe building ordinance
    3. Unregistered vehicle*/Inoperable vehicle
    4. Junk and debris
    5. Uncut weeds and grass
    6. Home occupation in residential area
    7. Sediment-erosion controls down/missing
    8. Easement/right-of-way/setback encroachment
    9. Sign placement/size or sign for obsolete business
    10. Other
39. If Other, Please Explain
41. *Unregistered vehicles on private property only. For unregistered vehicles on town or county roads, please call your local county police district non-emergency number.
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field