HomeMy WebLinkAboutComplaint 6/4/24 T 0 W4° 'V . OUT!I
1 146 Route 28 , uth, MA 02664
508-398-223: ,< < ". ' ►08-398-0836 R
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COMPLAINT FORM ��Ftir
Date: /V/11
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: / /
Property Owners Name(s):
Property Owners Mailing Address:
Description of Complaint: r�-, jrr- / TC"i// /),:i/ //,K f7' 4.-/
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Date (s)of Alleged Violation (s): /7(llt T ( �--
Name(s)of Person (s):
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The following information is required. Failure to provide your names address,
ansLte phunc number will result in the Ind ector o Buildings/ Zoning.
Enforeetn en taff�er to ro ess the_complaint at his/her discretion. (PLEASE
PRINT)
Complainant Name: t jj
Address of Complainant: ` 3! �`(���.� 5/ �� 1)1, 1� z,V
Telephone Number: 7 7V ,,3 5 6,/g 6, Email Address: of,c.4c. L1 c-- U ,mac,,JL
Preferred Method of Contact(check one): Telephone:
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 he 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.
Signature of Complainant: % /'Z
I Prefer to Remain Anonymous: [ ) (check box)