Report Blight

Submitted by admin on Sun, 09/07/2014 - 22:34

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) *

Over height Weeds, Grass or Dead Vegetation

Abandoned / Junk Vehicles

Trash / Litter / Debris

Open / Vacant Buildings or Structures

Outside Storage or Accumulations

Fences / Gates in Disrepair

Vehicles parked on unpaved surfaces or lawn

Graffiti

Other

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: *


First	Last

Phone:

-
Area Code	Phone Number

E-mail:

Address:

Street AddressStreet Address Line 2CityStatePostal / Zip CodeCountry

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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Report Blight