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2. Code Enforcement Request Form
   PLEASE NOTE: ALL fields require an answer. You will not be able to submit the form until ALL fields are completed.
4. Your First Name*
5. Your Last Name*
7. Your DAYTIME Phone Number*
8. Your Email Address*
10. Complete Address Of The Property You Are Reporting*
12. Describe The Issue Or Problem You Are Concerned About.*
    Please be as specific as possible.
14. After you have completed all fields on this form, please click on Submit or Submit & Print (if you want to keep a printed copy). After you click on Submit or Submit & Print, you will be redirected to a submission confirmation page. If you are unable to submit, it is likely that you failed to complete a field on this form.
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit Submit and Print

* indicates a required field