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Code Violation Complaint Form


Describe the exact location of the problem
Reporting the correct address is very important. If a vacant lot, provide the block number or the direction from a known address. As an example: "Vacant lot on 216 1st. Ave." or "Vacant lot on the southeast corner or O Ave. and 16th." NOT: "On the corner of O and 16th."

Provide an exact description of the problem
As example: "burned building," or "junked car in the front yard," or " old furniture stored on the porch," or "overgrown vacant lot." NOT: "looks bad," or " needs to be condemned."

In some situations, additional information is required in order to further the prosecution of a case. For that reason, a name, address, and telephone number is required of the complaining party.  Information relative to the complainant is confidential and will not be released to the public unless required by a court of law.


Address of Violation:
(required)
Date violation was observed:
(required)
Description of problem:
(required)
Name:
Address:
Phone:
Email: