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**Note: the property violation information contained in this complaint will become a public record and will be available upon request once the violation is resolved. The complainant’s (person submitting this complaint) information will not become public record unless this violation is adjudicated in a court of law.
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Instructions: In order for your complaint to be processed properly it is important that you supply as much detail as possible. If you have any questions, please call our office. Thank you
If the Code Compliance Officer has not contacted you within 3 days (and you have submitted your email or phone #), please contact the Officer at 541-506-2564 to verify receipt of complaint form.
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* Required Information
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*Date:
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*Address or Location of Violation
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City
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Nearest Cross Street/Directions
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Resident Name
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Resident Phone
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Property Owner Name
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Property Owner Phone
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Property Owner Address (if known)
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*Details of Complaint (be specific)
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*ARE THERE ANY KNOWN OR SUSPECTED HAZARDS AT THIS LOCATION? IE: Dangerous or unstable residents, dogs, criminal activity, etc
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yes
no
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If yes, identify hazard in detail
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Complainant Name (Your Information NOTE: phone # or email needed if you want to receive updates on the compliance process)
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Complainant Address
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Complainant City, State and Zip
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Email Address:
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Daytime Phone
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*I would like to receive updates on the compliance process (email or phone # is necessary)
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yes
no
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*Can violation be seen from the road?
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Yes
No
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If not visible from the road, what is the best inspection point?
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*Is the violating property a neighbor?
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Yes
No
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*Do you give the Code Enforcement Officer permission to use your property for viewing the violation?
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Yes
No
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If not, why
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*Will you, the complainant, testify in court should the need arise?
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Yes
No
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*I hereby certify that all information submitted on and with this form is true and accurate to the best of my knowledge.
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Yes
No
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*I also understand that the property violation information contained in this complaint will become a public record and will be available upon request once the violation is resolved. The complainant’s (person submitting this complaint) information will not become public record unless this violation is adjudicated in a court of law.
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Yes
No
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