HomeMy WebLinkAboutComplaint 81622 TOWI •
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1146 Route 28 ., �{ ;,uth, MA 02664
508-398-223 • `' ,.l 08-398-0836
Office of ! r '`11,..11, 2 missioner
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COMPLAINT FORM
Date:
1
Type of Complaint: Building Zoning General v
This is a formal request for enforcement of an alleged violation. The following are facts in the case:
Property Address of Alleged Violation: 1 I 54e-- e n v J �.
Property Owners Name (s): y-,` a V: e S
Property Owners Mailing Address: ? p ,-` l.) (A) G v 0 ��( � C 73
Description of Complaint:e-c- c U n v. ) at,--+-, o, C
co �rvpe.v�1 l
Date (s) of Alleged Violation (s): r--1) AA.‘ \
Name (s) of Person (s): . r-� � e c c:\
The following information is required. Failure to provide your name, address,
and telephone number will result in the Inspector of Buildings/ Zoning
Enforcement Officer to process the complaint at his/her discretion. (PLEASE
PRINT)
Complainant Name:
.8aY--, ,r--a_34._ R'� c r-c } i ` --1--c ry
Address of Complainant: \7 5 'T2 e ►�1 v— .
Telephone Number: cDc33 ,L/ 93 1l Email Address: C� YY� ' 4-0,1_ ( eG ty„,(mac ne4
Preferred Method of Contact(check one): Telephone: V Email:
I am basing my allegations on the above facts. I understand that as the complainant, in the event the Building
Commissioner is personally unable to bring the matter in to compliance, I may be required to attend legal
proceedings to enforce the regulation referenced above in a court of law. Pursuant to the above allegations I am
requesting an investigation and enforcement if applicable.
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Signature of Complainant:
I Prefer to Remain Anonymous: [ ] (check box) c� c.i (/
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