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1
Step 1
Citizen Complaint Form
Complaint Type
pick one!
Complaint Type
Weeds
Unsafe Building
Trash
Other
Date
of appointment
date_range
Location of property
your home / office
Owner or Occupant if known
your full name
Please describe the problem
more details
0
/
Date the problem was observed
of appointment
date_range
Is the problem visible from a public road?
pick one!
Yes
No
Signature of Complainant
Signature
I agree to the terms and conditions
(Sign Here)
Clear Signature
Submit Form
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