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2. A form to report concerns or complaints about possible code violations, including property maintenance issues, nuisance concerns, or animal control matters.
4. First Name*
5. Last Name*
7. Address
9. City
10. State
12. Phone Number*
13. Email Address*
15. Would you like a response? (must provide a valid email address, phone number, or mailing address)*

    Choose One:

    1. Email
    2. Phone
    3. Mail
    4. No
16. Photo if applicable:
18. Please describe your concern / complaint:*
20. Address of Possible Violation*
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field