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Code Enforcement Complaint Please fill out Complaint Form as completely as possible Date: _ Complaint/Violation: ~ _ Owner of Property in question (if known): _ Property Address: _ Complainant Information Name: _ Mailing address: ~ _ Phone#: _ I certify that the information provided above is true to the best of my knowledge. Signature of complainant Printed name of complainant lJSE Received by Date: _ CEOSignature: Actionmken: _ Follow up letter sent ~Date sent: _ Violation remedy: Date: _ Tax Map#: _