Code Enforcement Request for Investigation

 DATE: mm/dd/yyyy

Your confidential contact Information:

NAME: PHONE: (XXX-XXX-XXXX)

EMAIL: (e.g. name@isp.com)

ADDRESS: (1234 Main St. ) COMMUNITY: (e.g. Alpine, Ramona, Pine Valley, Julian,etc.)

STATE: (e.g. CA) ZIPCODE:(e.g. 92123) 

Please identify the property of concern:

ADDRESS: (1512 Main St. ) COMMUNITY: (e.g. Alpine, Ramona, Pine Valley, Julian,etc.)

STATE: (e.g. CA) ZIPCODE: (e.g. 92123)

ASSESSOR PARCEL NUMBER (in known): (e.g. 282-262-17-00 , look up Click Here)
NEAREST CROSS STREET: (e.g. another street nearby)

Additional information if known:

PROPERTY OWNER NAME: PROPERTY OWNER PHONE #:

TENANT NAME: TENANT PHONE #:

PROPERTY MANAGER NAME: PROPERTY MANAGER PHONE #:

DESCRIBE THE NATURE OF YOUR CONCERNS: