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���YQ <br /> C ITY C!F C�RON fJ <br /> a y Srr�et A�Idress: Ar1afling Addaess: Teiephcsne t95�249•�FbOQ <br /> �E, � 275�K�Iley�'a�kwagr f'.C?,Box 55 Fax a952}24°4-4Er36 <br /> `�k�SHp�'�G Qrmnn,�J#i41 5535b C'.x}t�k.al�ay,1hh�i:�23 , uuww.c�orc�nca.m:�.ass <br /> Property Complaint Form <br /> oate: � 1�� � , - <br /> Address or location of Complaint: � �-.- j� �'�� <br /> �`� ��,�.��t C���� f��`- � <br /> Description of Complaint (Be specific, but avoid providing details that identify yourselfl: <br /> — ' ` � �I�l C C � O�l..t�;�r" �;�(;1��1 I�r��! �;���°� V� 'i�r � ��; kJ�i��.!C�_;� ����C�-- <br /> - � C U� � r'�'► i�S 2 <br /> - � ��� Y� � ���Ut1� ` � <br /> �� � � �� ,� ��ti y� <br /> ----------------------------------------------------------------------------- <br /> ----------------------------------------------------------------------------- <br /> For Office Use Only: <br /> PIN (if no address): <br /> Staff: Date Received: <br /> Violation Present? Yes; City Code Reference: or <br /> No/Unfounded - Describe: <br /> ----------------------------------------------------------------------------- <br /> ----------------------------------------------------------------------------- <br /> Identity information of individuals registering complaints is classified as confidential. <br /> -- ""'� C.�-�C�'� I� <br /> Printed name of comp�a�~�an, Phone Number <br /> 1 ` �' ' ��k�;� ri�) <br /> Printed address of complainant <br /> �l��r� <br /> Signature of complainant e-mail address <br /> Reset Form Submit Form via'Email <br /> Failure to include your contact information may invalidate this complaint. The City does not <br /> provide updates or detailed information regarding open violation files;you may contact our <br /> ofifice to inquire about the status of your complaint. <br />