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2. 

   
   

4. Date of Complaint*
   Date of Complaint
6. Type of Complaint*

   1. Rubbish Violation
   2. Camping Violation
   3. Land Use Regulations (LUR)
   4. Other
8. If "Other" Please Explain
10. Address of Violation*

    Please provide the legal address for the property where the possible violation occurred. Include the city.

12. Are there life, health, safety, or environmental issues observable?*

    1. Yes
    2. No
14. Provide a description of the violation
16. Describe any life, health, safety, or environmental issues.
18. Is an RV Camping Agreement in place?
    -- Select One --YesNoUnknown
20. How many days in excess of 60 authorized by Camping Ordinance Number 20 and Section 2.4 of the TCLUR has the camping occurred? How have you determined this?
24. Owner / Occupant / Agent of Property Where Possible Violation Occurred (First & Last Name)*
26. Violator's Phone Number*
28. Address of Violator (If Different Than Violation Property)

    Street Address, City, State, Zip Code

32. Is the property in a Home Owner's Association (HOA) / Property Owner's Association (POA)?

    1. Yes
    2. No
34. Name the HOA / POA
36. Has there been an attempt to resolve the matter either by you or the HOA / POA?

    1. Yes
    2. No
    3. Unknown
38. If yes, please explain the attempted resolution.
42. Your First Name
43. Your Last Name
45. Your Phone Number
46. Your Email Address
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field