Report Blight

Section 1


Address of the Property: (exact address required) *

Section 2


Alleged Violations: (Check all that apply and fill in the description and location in detail in the box provided) *
Description of Activity: Please provide a detailed description in the box of the violation(s) checked above.

Section 3

In the event that the inspector needs to follow up with you regarding your concern, please supply the following information. If you would like to remain anonymous, please leave the following fields blank.

Your Name: *
Phone:
-
E-mail:
Address:

Thank you in advance for the information submitted on this form. If you would like to remain unidentified fill in your name as anonymous in the blanks above. Your request or concerns will be addressed in a timely manner by the Building Department Blight Division (708) 788-2660.


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