HomeMy WebLinkAboutComplaint Form (2) 4/28/26 /oF 4 TOWN OFYARMOUTH
vro;, Office of the Building Commissioner
y� ;� �I 1146 Route 28, South Yarmouth, MA 02664
N :M `f 508-398-2231 ext. 1260 Fax 508-398-0836
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COMPLAINT FORM
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Date: LI ( Z�! Z i )
BUILDING DE1
By Type of C-otnplaint: Building V 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: A°2 e\C kS C'(0
Property Owners Name (s): UL,vV-'�1/1/4-A/k
Property Owners Mailing Address: LlvN1kAA-il)
Description of Complaint: Q\ Q kAac-£X , c ,e, ( 10,;\uk-' WAI\-e- —itote , Q Le 171
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Date (s) of Alleged Violation (s): C10\
Name (s) of Person (s):
-Thi-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: TLC CI t-v,f RI/t-
Address of Complainant: ZO 7Catvl um.94- (/ rMf1u`( 4 Atfl (37-fs3-3
Telephone Number .)-3-78-` i3l I Email Address: k1 &i't L+ &Actlitoo-(69
Preferred Method of Contact(check one): Telephone: Email: y
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 enfor ent if applicable.
Signature of Complainant:
I Prefer to Remain Anonymous: [ ](check b x)