HomeMy WebLinkAboutComplaint Form 4/28/26 �g YA ��,� TOWN OF YARMOUTH
14 4 444,0� Office of the Building Commissioner
1146 Route 28, South Yarmouth, MA 02664
w� `MATTAGMEESC 508-398-2231 ext. 1260 Fax 508-398-0836
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RECE � � COMPLAINT FORM
APRDate:
[ BU11N5TMEpe of Complaint: Building ✓ Zoning General
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This is a formal request for enforcement of an alleged violation. The following are facts in the case:
Property Address of Alleged Violation: /5 711p.j. ag,t1/ i7,,0
Property Owners Name (s): taw J ti ii .J
Property Owners Mailing Address: C/A. i<w,,—.J
Description of Complaint: /ii�,bn LAP lyd(a R cfrp,X, A spre �j lA6aSeic
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Date (s) of Alleged Violation (s):
Name (s)of Person (s): vti I�NU/ J
The following information is required.Failure to provide your name, address,
and telphone number will result in the Inspector of Buildings/Zoning
Enuorcrment Officer to process the complaint at his/her discretion. (PLEASE
PRINT) )) //
Complainant Name: Sielo at,.� ZAkivvte-C
Address of Complainant: IS gemv.1 /7, ,i n2rv��L n9,9
Telephone Number: Na -37`/-,25 3 Z- Email Address: 14 .lN,' </s-e yam /64,-.
Preferred Method of Contact(check one): Telephone: 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 applic le.
Signature of Complainant:
I Prefer to Remain Anonymous: [ ] c eck box)