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Violation/Complaint Form
First Name
*
First name of the person submitting this form.
Last Name
*
Last Name of the person submitting this form.
Street Address
*
Street address of the person submitting this form. Include the street name and house number.
City & State
*
Include the City and State of the person submitting this form.
Phone Number
*
Include a telephone number for contacting the person submitting this form.
Email Address
*
Include an email address for contacting the person submitting this form.
Type of Violation/Complaint
*
Which type of violation are you reporting?
Overgrown Weeds/Trees
Unlicensed/Illegal Vehicle
Junk/Trash Violation
Building/Accessory Structure Violation
Address of Violation
*
Please tell us the address of the above-reported violation/complaint. YOU MUST INCLUDE the house/property number, street name, and the name of the cross street(s) closest to the property in violation.
Details
*
Please include a detailed description of the above-reported violation/complaint.
Photo
Upload a photo(s) of the violation/complaint, if available.
Today's Date
*
What is today's date?
Time Submitted
*
Please enter the current time in this format: HH:MM AM/PM
I am a human.
*
