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Complaint Form

First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number
Email Address
Address of Complaint*
Description of Complaint*
When did the problem start?*
Have you talked to anyone about the problem prior to contacting the Building Department?*
Description of Conversations
Please describe your conversation(s) with the person. Please include any times / dates of your conversations.
Name of person you spoke to:
Phone number of person you spoke to:
Email Address of person you spoke to:

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

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