HomeMy WebLinkAboutWALTER G PIPPEL ADDITION BLK 9 LT 84"/
NUISANCE COMPLAINT FORM
Complainant's Name:
Street Address:
Phone NoJ?/ q No.
Name of Person Against Whom Complaint is Made: /~,}"~'>C~'~'
Owner of Property Where Nuisance Exists:
Phone No.
Location of Complaint:
Street Address:
Person Receiving Complaint: Date: /M.~,
I certify that such statement of facts is true to the best of my belief and know-
ledge. I request that the foregoing matter be investigated and that appropriate
action thereafter be taken. I am willing to testify to the facts stated in the
foregoing complaint in court if necessary.
Complainant
REPORT OF ACTION TAKEN
Date Investigated:
DATE COMPLAINANT WAS CALLED REGARDING DISPOSITION OF COMPLAINT:
NUISANCE COMPLAINT FOR~
Rhone No.: &~¥-~3~ ~ox No.:
Description of Complaint:
_, . ,,
·
Name of Person Against Whom Complaint is Made.
Owner of Property Where Nuisance Exists: ~//~
Owner's Address:
Box No,
Phone No.
Location of Complaint:
S~ddress:
Person Reeeivlng Complaint: ~ Date, ~ 2 Z~'-'~'* '7
I certify that such stateme/t of facts is true to the best of my belief and know-
ledge. I request that the foregoing matter he investigated and that appropriate
action thereafter be taken. I am willing to testify to the facts stated in the
foregoing complaint in court if necessary.
Complainamt
Investigator:
Date Investigated:
Action Taken:
REPORT OF ACTION TAKEN
DATE COMPLAINANT NAS CALLED REGARDING DISPOSITION OF COMPLAINT: