Section 1 of 1 in this document
Abandoned Homes Reporting Form
FOR CITIZENS TO REPORT HOMES THAT ARE IMMINENT DANGERS OR NUISANCES
ADDRESS OF PROPERTY
Address or Location
IN MY OPINION THIS PROPERTY CONSTITUTES AN:
EMERGENCY/HAZARD
EXPOSED WALLS/ROOF
CREATES PROBLEMS W/ VERMIN
POTENTIAL HAZARD FOR CHILDREN & PEDESTRIANS
DEBRIS FALLING ON SIDEWALK/ ROADWAY
SQUATTERS
ILLICIT ACTIVITY
POTENTIAL FIRE HAZARD
BECAME VACANT DUE TO FIRE
IS THIS A ROWHOME?
YES
NO
YES AND OTHER HOMES ARE ATTACHED WITH PEOPLE LIVING IN THEM.
YES, MULTIPLE UNINHABITABLE/CONDEMNED HOMES ARE ATTACHED
THIS PROPERTY SHOULD BE EVALUATED FOR:
REHABILITATION
GIVEN TO A LOCAL CONTRACTOR FOR REHABILITATION TO CREATE JOBS
DEMOLITION
THE URGENCY CONSTITUTES:
NO FURTHER DELAYS/ THIS IS AN EMERGENCY
EVALUATE THE SITUATION MORE
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Full Name
First Name
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Last Name
Phone Number
*
Full Address
Street Address
City
State
Zip
Email
*
disregard this