Code Enfrocement Complaint Form
Date: ______________________________ Rec’d by: ______________________________
Description of Complaint:
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Location (Street Address): ________________________________________________________________
Legal Description: ______________________________________________________________________
Complaining Party Complaint Involves
Name: _________________________________ Name: _________________________________
Address: ________________________________ Address: _______________________________
Phone: __________________________________ Phone: ________________________________
Type of Complaint Referred To Date Referred
____________________________ ______________________ __________________________
Additional Notes:
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4800 W. Yellowstone Hwy
P.O. BOX 789
Mills, Wyoming 82644
Phone: (307) 266-4796
Fax: (307) 235-8976