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2. Date of Complaint*
   Date of Complaint
4. Complaining Against:*
   Provide the name of the offending party
6. Address of Offending Party*
8. City*
9. State*
10. Zip Code*
12. Offending Party's Phone Number
14. Please provide directions to the offending party's address:
16. Nature of Complaint*

    1. 2nd Single Family Dwelling
    2. Accumulated Waste
    3. Auto Wrecking
    4. Building Without Permits
    5. Expired Hardship
    6. Home Occupation

    1. Manufactured Home Placement
    2. RV as Single Family Dwelling
    3. Salvage Yard
    4. Too Many Livestock or Fowl
    5. Violation of Conditional Use Permit
    6. Other
17. If "Other", please specify:
19. Please provide additional information about the complaint:
23. Your Information
25. Name*
27. Address*
29. City
30. State
31. Zip Code
33. Phone*
35. Email Address
37. Disclaimer*

    I understand this information is considered public record and could be disclosed upon request.

    1. Yes
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field