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2. Please complete the online form below to submit your code violation or complaint.
4. Contact Information
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Home Phone Number*
18. Cell Phone Number
20. Daytime Phone Number
21. Email Address*
23. Please specify the code violation or complaint.*
25. Location of Complaint*
27. Photograph or Document Regarding the Problem
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

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