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2. Property Maintenance Code Enforcement - Complaint Sheet
6. Type of Complaint

   (Select those that apply):

   1. Building/Structure Unsecured
   2. Building/Structure in Disrepair
   3. Junk/Trash Accumulation

   1. Open Excavation
   2. Junk Autos
   3. Unlicensed Vehicles

   1. Weeds
   2. Other
8. Others
   (Specify)
12. Date Recieved
    Date Recieved
13. Ward
    -- Select One --First WardSecond WardThird WardFourth WardFifth WardSixth WardSeventh Ward
15. Address of Complaint:*
17. Description of Complaint:
18. Occupied By
    -- Select One --OwnerTenantVacantLotUnknown

    (Select one):
20. Complainant's Name:*
21. Address:
23. Telephone No:
24. Email
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field