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TOWN OF VARMOUTH
Office of the Building Commissioner
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1260 Fax 508-398-0836
COMPLAINT FORM
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Type of Complaint: Building _ Zoning _ General v �—' l t- *,f4 /
This is a formal request for enforcement of an alleged violation. The following are facts in the case:
Property Address of Alleged Violation: ---
Property Owners Name (s):
Property Owners Mailing Address: C>)- f (,-o
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Description of Complaint:
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Date (s) of Alleged Violation (s): �u �/ 02-0 oZ0 �� /r
Name (s) of Person (s):
RIF EIVED
OCT 0 2 2024
BUILDING DEPARTMENT
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