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Complaint/Violation Form
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Please provide the following information if you would like to submit a complaint or report a violation.
Contact Information
Your Name:
Your Address:
Phone Number:
Email Address:
Please indicate the problem by checking the following boxes.
Other issues may be mentioned in the box below.
*
Water leaking
Jobsite Litter
Blocked drainage channel
Damaged sidewalk
Traffic/Road signs
Hazardous parking
Water leaking on roadway
Setback Encroachment
Other
Brief Description (or other problem not listed)
Location of Problem
*
* indicates required fields.
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