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2. Compainant Information
   NOTE: Code Inspector will only follow up if the complainant’s name and contact information is provided.
4. First Name
5. Last Name
7. Street Number
8. Street Name
9. Street Type
10. Apt #
12. City
13. State
14. Zip
16. Email
17. Contact Phone Number
19. Complaint Information
21. Address1
23. Address2
25. City
26. State
27. Zip
29. Property/Business Owner (if known)
31. Description of the Complaint.
    Be as descriptive as possible to assist in the investigation.
33. You may upload a file attachment here.
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field