Fire Hazard Complaint
Please provide as much information as possible so we can assist in resolving the hazardous condition. If you do not know the information, we will do our best to find it.
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Fire Hazard Information
Date *
JJ
/
MM
/
YYYY
Type of Hazard
Hazard Property Address Numbers *
Hazard Property Street Name *
Hazard Property Location/Address *
Location of Hazard on Property *
(i.e. brush next to the back fence)
Hazard Property Owner's Name
Hazard Property Owner's Address
(If different than hazard property address)
Assessor's Parcel Number
Hazard Property Owner's Contact Information
Please Describe the Specific Fire Hazard *
Reporting Party Name *
Reporting Party Address *
Reporting Party Phone Number *
Reporting Party E-mail Address *
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