HomeMy WebLinkAboutComplaint 3/17/22 rREcEvED
TOW .f." " i; i OUTH MAR 17 2022
1146 Route 28 ti. ., ,.uth, MA 02664 _
508-398-223 '. �' ,08-398-0836 I BUILDING DEPARTMENT
�� y BY'__________
Office of 1. ' `,1:',0,t; t 11 missioner
MATTA M ES[�g
*o,o Rao* am'
COMPLAINT FORM
Date: 5// / Z02-
Type of Complaint: Building / / Zoning� General_
This is a formal request for enforcement of an alleged violation. The following are facts in the c e:
Property Address of Alleged Violation: _ /4 y y/P ' ��/�4 (// ,?" /44/i/di/ \
II4 14 a ?3
Property Owners Name(s):
Property Owners Mailing Address:
Description of Complaint: 0 i/12— s i Z€ l/Jc//?jP722-
if C h i vcI CJ 4 j�7 ,
h j' ��� r .a i1C 4A, 41,600/ ti�eAs i3Oi / /
P icey d e,t /4 / ., /�%G)4 � - /7 ,,5'/) a e2,, /G�i /A-- pie.Z
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-fr►1et- 1/1V4, 4,1e. (file_ I s/ c/eh /j { 4,47)'Ddvit -,5
he/i COW /12i 3 /s air iev /VCl�hinho ci a �z�it al
`Pli, 4e9A7/,,is Voiit/ 4- W5 0 i 71 wo ule44, '42 cicd bAglil.S .
Date(s)of Alleged Violation(s): 2=3P10/1' 07 S API a V thuL(7 GAG%Z2---
Name(s)of Person(s):
TOW. OUTH
1146 Route 28: ?a ' uth, MA 02664
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5 -398-223. _'a?: " =' r s-.08-398-0836
Office of ; ' ?�, ~ '2 a• ! missioner
'• MATTA M CSE
f
`MOasairtto�. 4(c.
Complaint Form Instructions
> 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
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