Fields marked with * are required to process your request.

Problem *

Public Health Nuisance - high grass
Public Health Nuisance - trash & debris
Car Parked in front yard
(if the vehicle does not have license tags please call us first)

If this is a minimum housing request,
please see petition at Minimum Housing Petition


Contact Information:

Your name: *
Your address: *
City: *
State: *
ZIP: *
Email address:
Home Phone: *
Work Phone:

Location of Concern*
At a Home
Along a Street
At a Business

Nearest Physical Street
Address of Concern: *

Please enter brief description of the violation.
(We may need to contact you for more information.)*

 

If you have filled in all required fields, please click on the SUBMIT button to send this information to the Neighborhood Services Department. To erase the entire form and start again, click on the RESET button.

 

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