Fillable 1469 Complaint Form (Rockbridge County)

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1469 Complaint Form (Rockbridge County)

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The 1469 Complaint Form (Rockbridge County) form is 1 page long and contains:

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  • 15 check-boxes
  • 28 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Rockbridge County

BROWSE ROCKBRIDGE COUNTY (VA) FORMS

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CODE ENFORCEMENT
COMPLAINT REPORT
ROCKBRIDGE COUNTY VIRGINIA
PLANNING & ZONING
Violation Type:
❑
Use Violation
C:1
Building Violation
❑
Signage Violation
❑
Special Exception Conditions
0 Other
BUILDING
Violation Type:
❑
Working W/O Permit
❑
No Certificate of Occupancy
❑
Property Maintenance Violation
❑
Other
EROSION & SEDIMENT CONTROL
Violation Type:
❑
Working W/O Permit Residential
1:1
Working W/O Permit Commercial
❑
DEQ
❑
Army Corp of Engineers
❑
Other
(over 10,000 sqft)
(over 10,000 sqft)
COMPLAINANT NAME:
DATE:
PHONE #:
ADDRESS:
LOCATION OF VIOLATION:
TAX MAP:
ZONING:
PROPERTY OWNER NAME:
PROPERTY OWNER MAILING ADDRESS:
DATE OF VISIT:
INDIVIDUALS ON SITE:
Comments:
OFFICE USE ONLY
Date:
Comments:
Findings:
Compliance Required:
Compliance Date:
❑
Fines Issued$
Code Section:
Employee Signature
Date
DATE:
TIME:
❑
Pictures Attached
EMPLOYEE NOTIFIED:
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1469 Complaint Form (Rockbridge County)

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Completed 11 December 2021

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