Section 1: Complaint Information
 
Assignment #:
   12032008-2510  
 
Your Name:
    
 
Phone Number:
    
 
Street Address:
    
 
City, State:
   , KY  
 
Zip Code:
    
 
E-mail Address:
    

Please note that all information submitted via this form is kept confidential. Your personal information is for internal use only and will not be divulged without your express consent.

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privacy statement
Section 2: Location & Description of Code Violation
 
Category:
  
Junk Motor Vehicles
Junked RV, House Trailer, Utility Trailer or Boat Trailer
Junked Watercraft
Junked Appliances
High Grass or Weeds
Unlawful Dumping and/or Collection of Litter
Unsafe Structure
Other(Describe using the box below.)
 
 
Description:
    
 
Street Address:
    
 
Cross Street:
    
         
 

If this is a resubmittal of a prior complaint, please enter the original Assignment Number in the field below.

Prior Assignment #: