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2. To report a code compliance issue, please fill out all fields in this form. Once you have submitted the online form, a staff member will contact you as soon as possible.
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8. Contact Information
10. Your Name:*
12. Your Address:*
14. Phone Number:*
16. Email Address:
18. Code Violation Description
20. Address or location of code violation*
22. Brief description of Code Violation:*
24. How long has this code violation occurred? *
26. Thank you for your assistance!
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field