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Code Violation Complaint Form

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