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2. Violator Information
4. Violation Address
6. Violation Description
8. Attach Pictures
10. The following information is optional, but will expedite the process.
12. Your Information
14. Your Name
16. Owner Name
18. Legal Property Description
20. Please include your contact information if you are requesting a reply.
22. Your Telephone Number
24. Your Email Address
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

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