Fillable Complaint 2017 - Complaint

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Complaint 2017 - Complaint

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File type: PDF

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COMPLAINT – PROPERTY MAINTENANCE
First Name:
Last Name:
Phone No.
Email:
Address:
City:
State
ZIP Code:
Problem Property Address/Location Property Maintenance Request
NOTE: Fields marked with an asterisk ( * ) MUST be
completed in order for your request to be submitted.
* What type of property are you reporting?
House No.
Apartment House Retail Store
Street Name:
Industrial or Office Building
Apartment No.
Other (describe):
Description of Problem
DATE:
Complaint No.
The following information will help us to better respond to your request.
Contact Details
BENSALEM TOWNSHIP
Building and Planning Department
2400 Byberry Road ▪ Bensalem PA 19020
215-633-3683 ▪ FAX 215-633-3753
Report Unsightly or Dangerous Property and Nuisance Complaints
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Complaint 2017 - Complaint

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Completed 11 July 2020

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