Form Center

2. Date*
4. Nature of Complaint
6. Please mark all that apply:*

   1. Animal
   2. Business (Residential/Home occupation)
   3. Construction Debris
   4. Neglected Structure
   5. Environmental
   6. High Grass
   7. Trash and Debris

   1. Illegal Residence
   2. Junk (Inoperable) Vehicles
   3. Kennels (Commercial)
   4. Building without Permit
   5. Roadside Vendors
   6. Signs
   7. Yard Sales
8. General Location*
   -- Select One --Select oneAdamsvilleBevilles CornerBushnellCenter HillColemanCroom-a-coocheeGant LakeLake PanasoffkeeLindenNobletonOxfordRoyalSumtervilleTarrytownThe VillagesWahooWebsterWildwood
9. Parcel #
11. Property Address of Violation*
13. Directions to Property*
15. COMPLAINANT INFORMATION
17. Complainant Name*
19. Street/Mailing Address*
20. City*
22. State*
23. Zip Code*
25. Daytime Phone*
26. Complainant Email*
28. PROPERTY OWNER INFORMATION
30. Property Owner Name
32. Street/Mailing Address
33. City
35. State
36. Zip Code
38. Phone
40. OCCUPANT/TENANT INFORMATION
42. Occupant/Tenant Name
44. Street/Mailing Address
45. City
47. State
48. Zip Code
50. Phone
52. Upload Photo #1
53. 
    
55. Upload Photo #2
57. Upload Photo #3
59. Upload Photo #4
61. Upload Photo #5
63. FOR OFFICE USE ONLY
65. CASE #
67. PARCEL
68. OR
69. PG
71. ZONING
72. PROPERTY SIZE
Leave This Blank:


73. Submit Submit and Print

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