| CO. INDEX |
INDEX # |
| COMPLAINT LOCATION | ||
| (PROPERTY ADDRESS) | (ZIP) | |
|
|
| (DO NOT WRITE HERE - OWNER'S NAME - TO BE FILLED OUT BY ZONING OFFICE) |
|
|
| (DO NOT WRITE HERE - OWNER'S MAILING ADDRESS IF DIFFERENT FROM COMPLAINT LOCATION - TO BE FILLED OUT BY ZONING OFFICE) |
| DATE(S) VIOLATION OCCURRED |
| HIGH GRASS | TRASH/DEBRIS | ZONING | SNOW PLOWING/SHOVELING | ||||
| NON-OPERATING VEHICLE(S) (NO CURRENT INSPECTION AND REGISTRATION) | |||||||
|
BRIEF Description
_____________________________________________________________________________ |
|||||||
| NAME OF COMPLAINANT |
| ADDRESS | PHONE |
| SIGNATURE | DATE |
| OFFICE USE ONLY | ||
| (DATE OF RECEIPT) | (TOWNSHIP REPRESENTATIVE) |
| Foreclosure/Bankruptcy/Abandoned Property |
| ACTION TAKEN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Follow up letter sent? | Complaint Closed |