Fillable 1) COMPLAINANT INFORMATION City of Veneta * 88184 (City of Veneta)

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1) COMPLAINANT INFORMATION City of Veneta * 88184 (City of Veneta)

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S:\FORMS\Code Enforcement\Complaint Form.doc
City of Veneta * 88184 8th Street * PO Box 458 * Veneta OR 97487 * (541) 935-2191 * www.venetaoregon.gov
PLEASE PRINT - DO NOT LEAVE ANY SPACES BLANK
1) COMPLAINANT INFORMATION
Name: _______________________________________________ Phone: (_______)_______________
Address: ___________________________________________________________________________
2) TYPE OF COMPLAINT (check all that apply):
Animal Control Code Violation Nuisance Water/Sewer Other_____________
3) VIOALATION/COMPLAINT INFORMATION
Water/Sewer Service Address: _________________________________________________________
Address of Violation (Required):________________________________________________________
Property Owner(s): __________________________________________________________________
Renter(s): _________________________________________________________________________
How long has the violation existed: _____________________________________________________
4) DESCRIBE THE ISSUE:
Give as many details as possible, if you have photos or other related information that can be used as evidence of this violation,
please submit them with this form. The submitted documentation will not be returned and will become part of the complaint file.
Attach a separate narrative if you need additional space.
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
SIGNATURE: ___________________________________________ Date: ______________
Complaints are handled in the order received. It may take 2-3 weeks before an investigation is conducted.
Health and safety issues take precedence over all other complaints and are usually investigated as soon as possible.
Clearing a violation may take 90-120 days, depending on the level of voluntary action on the part of the violator.
For more information on our code please visit our website at www.venetaoregon.gov
NOTE: Anonymous complaints will be accepted but may or may not be investigated at the discretion of the City Administrator or
designee depending on the following factors:
The reliability of the complaint;
Whether the complaint alleges an imminent threat to public health and safety or to the environment;
The ease or difficulty with which the complaint may be verified by City staff.
The City's enforcement-related confidentiality policy is based on State of Oregon public records' statutes. Enforcement records are
public records. The City will make an effort to not disclose the complainant's name; however, if that person is required as a witness
in an enforcement case the "right of cross examination" requires the City to disclose the complainant's name.
Assessor’s Map #:________________________ Zoning:______________ UB Act:______________
Comments: ________________________________________________________________________________
________________________________________________________________________________
FOR OFFICE USE ONLY
Complaint Form
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1) COMPLAINANT INFORMATION City of Veneta * 88184 (City of Veneta)

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Completed 17 July 2020

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