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HomeMy WebLinkAboutComplaint Form 4/22/26 vgff Y ,4- TOWN OF YARMOUTH - z Office of the Building Commissioner ivr `' I 1146 Route 28, South Yarmouth, MA 02664 o a) :s� , 508-398-2231 ext. 1260 Fax 508-398-0836 COMPLAINT FORM Date: .2,2.-10 a(o Type of Complaint: Building` \ Zoning_ General This is a formal request for enforcement of an alleged violation.o The following are facts in the case: Property Address of Alleged Violation:la / �j 3 / j Q Q/n s ef-0.e I j d. C r V�,2X 0 C 6faLL A �" S�l D Property Owners Name(s): • © ter 1 U`W 5 0)W. Property Owners Mailing Address: Description of Complaint: 4]jQf1 d_ai cL //ous 2, li-2-D--D--(0 s?0(/ u)I`i 4 TM s,,,,r5 l 3,2) l 4 Tnis-f S►� t) n SAP 8u SF p .g4 c J/'�S (� , t fs Date(s)of Alleged Violation(s): Q\ 0,0 g - a O (10 Name(s)of Person(s): , The 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: Va _L [() ( e__ ( ° n i 4) 1 I Address of Complainant: a Telephone Number:73/— 9 Email Address: V LiiüJ dçj Yta( ott l / l p Preferred Method of Contact(check one): Telephone: Email: V 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 e force ent if applicable. Signature of Complainant: OLOMAL 00.04(v)._ I Prefer to Remain Anonymous: [ ] (check box)