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Code Violation Form
Name:
Check here if you would like to remain anonymous:
Address of property suspected of code violation(s):
City:
Zip Code:
Phone:
Email:
Building Use (select one):
Select One
Single Family Dwelling
Multi-Family Dwelling
Apartment
Commercial
Owner Occupied
Tennant Occupied
Uncertain
Other-List Below
Other:
Alleged Violation(s):
Select One
Open & Vacant Structure
Overgrowth (grass, weeds, Kudzu)
Junk Vehicle
Junk, debris, trash
Vacant Lot
Leaking
Other-List below
No Water (hot/cold)
No Heat
Other:
Additional Comments:
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