Code1

Code inspection

* Indicates required field

INSPECTION DATE *

Name *

First

Last

Commonplace *

Address *

Line 1

Line 2

City

State

Zip Code

Country

VIOLATION *

Storing or Accumulating Garbage or Rubbish Storing or Accumulating Junk material (abandoned machinery, equipment or appliances) Storing or Accumulating other Junk - all forms of waste and refuse, includes scrap metal, glass, industrial waste, etc Storing or Accumulating abandoned or junked motor vehicles Draining or flowing - foul or offensive water Burning Garbage, tires, or tar products. Maintaining dangerous structure - abandoned or occupied buildings or in state of dilapidation or disrepair. Permitting the growth of vegetation - grass, weed, noxious weeds

ACTION *

RE-INSPECTION DATE *

Comment *

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