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2. Please use this service request to report code concerns on the property that is being reported.

6. Address*

   Enter the address of the property.

8. Is this on private property?*
   -- Select One --YesNo

   .

9. Concern*
   -- Select One --High Grass and WeedsDead VegetationInoperable VehicleWork without a permitWork Outside of Allowed Hours

   Select the concern from the dropdown

   
   

11. Where is the concern?*
    -- Select One --BackyardFront yardSide yard
15. Provide Your Information (Optional)

    Provide appropriate participant information
    
    

17. First Name
18. Last name
20. Address

    Enter your address

21. ZIP
23. Email
24. Phone Number
26. Anonymous

    1. I prefer to stay anonymous
27. Contact

    1. I would like to be contacted by phone
    2. I would like to be contacted by email
31. Additional Details

    Provide any additional details about this request...

33. Date Observed
    Date Observed
34. Upload an image.
Leave This Blank:


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

    This field is not part of the form submission.

38. Submit

* indicates a required field