HomeMy WebLinkAboutComplaint form 30123 TOW .,.1'-.';;1—'zis.i OUTH
1146 Route 28 ti,. ., \►,uth, MA 02664
508-398-223! q, ` ''. '• .,. 08-398-0836
Office of u,' '' �.;I ,_�_ 2 i •VE ' missioner
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COMPLAINT FORM
Date: 0 3- CI _QC
Type of Complaint: Building Zoning ` General
This is a formal request for enforcement of an alleged violation. The following are facts in the case:
Property Address of Alleged Violation: l I G S bo'-k' S nos- (rv..A_
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Property Owners Name (s): G:,,_)',, R, bC-1-\Qt\e..., '
Property Owners Mailing Address: M -e.,
Description of Complaint: L :.4 , SC,G. -C._, CQP----VG,r‘\:-) 14) - r\
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Date (s) of Alleged Violation (s):
Name (s) of Person (s):
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1146 Route 28,0'' 11* . s. = uth, MA 02664
508-398-223 : je,r - . .08-398-0836
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[ MAR 01 2023 Complaint Form Instructions
BUILDING DEPARTMFNT
By.
➢ Please be aware, when you fill out a Request for Enforcement you are filing a formal
written complaint
➢ Read the Request for Enforcement form carefully and fill out the Request for
Enforcement form completely
➢ Multiple complaints pertaining to different addresses require a form for each complaint
➢ Multiple complaints pertaining to the same address can use one complaint form
➢ Sign and forward the original Request for Enforcement form to the Building Department
(copies are not accepted)
Please Note:
➢ Request for Enforcement forms that are incomplete will be treated as anonymous
complaints and will be investigated at the Building Commissioner's discretion
➢ Complaints that are phoned in to the Building Department will be treated as anonymous
complaints and will be investigated at the Building Commissioner's discretion