2. LOCATION OF VIOLATION
4. House Number
5. Street Name
6. Tax Account Number
10. OWNER INFORMATION
12. First Name
13. Last Name
15. Address
17. City
18. State
19. Zip
23. COMPLAINT INFORMATION
25. Nature of Violation
27. Violation can be seen from:

    1. City Street or Alley
    2. Complaint's Property (permission to enter property and contact information will be required)
28. Do you grant permission to enter your property for inspection?

    1. Yes
    2. No
32. COMPLAINANT INFORMATION
    If you have given permission for the Code Enforcement Officer to enter your property, contact information is required. Otherwise, the below information is optional. If follow-up is requested, please provide contact information.
34. First Name
35. Last Name
37. Address
38. Phone Number
40. City
41. State
42. Zip
43. Email Address
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field