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Application for Code Enforcement
Case Number
Type of Code Case
Requester Details
Contact Name
Address
City
State
ZIP
Phone
Email
Desc.
Type of Violation
Action
Closed Date
(mm-dd-yyyy)
Date of Compliance
(mm-dd-yyyy)
Date Resolved
(mm-dd-yyyy)
Notes
Fee
Add section
Reference Item Type
Business License
Professional License
Inspection
Permit
Plan
Code Enforcement
Reference Item Number
Date
(mm-dd-yyyy)
Fee Amount
Payment Method
Cash
Check
Debit/Credit Card
Payment ID
Reversed Date
(mm-dd-yyyy)
Reversed Amount
Description
Remove
Inspection Number
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