2. Property Maintenance Issue*
   -- Select One --Scrape and Paint House / TrimFence RepairDangerous BuildingPossible Vacant StructureDead TreeDumpster Enclosure RepairDebris / Trash in YardHigh Grass/Weeds (Police Dept)Broken Window(s)Other
4. Address / Location of Problem*
6. Brief Description of Issue*
8. Photograph:

   If applicable - Choose File (DOC, DOCX, XLS, XLSX, TXT)

12. Your Information
13. Contact Name
14. Phone Number
16. Address

    Address, City, State, Zip Code

17. Email Address
19. Check box if you authorize a City Code Enforcement Officer to enter your property to obtain a better view of the alleged property maintenance violation.*

    1. I authorize access
    2. I DO NOT authorize access
    3. Not applicable
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field