General Nuisance Complaint Form

Name*
First Last
Your Address*
Street Address
Day Phone
Evening/Cell Phone
Email*
Location/Address of Complaint*
Street Address
Nature of your complaint*
- Building/Unsafe structure
- Junk Vehicles
- Offensive Smell
- Garbage
- Junk in yard
- Fence
- Weeds/Overgrowth
- Signage or Right-of-way use
- Other (describe below)
Comments:
Every effort will be made to keep complainant information confidential