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Date of Report
Address of possible violation:
Situation:
High weeds Brush (lumber, junk, limbs) Junk/debris Fence (missing slats, etc.) Illegal sign Inoperable vehicle Illegally parked vehicle Illegal dumping
Other violation (specify):
Please provide the following information in case we need to contact you in reference to your complaint. Thank You.
Your Name:
Your telephone number:
Your e-mail address:
