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Report a Code Violation

2. Notice
   By submitting this form, all information including your name and address becomes public record. Observing citizen's information may remain anonymous, but form must be complete. Contact the Indian Trail Planning Department at 704-821-5401 for more information.

   By submitting this form, all information including your name and address becomes public record. Observing citizen's information may remain anonymous, but form must be complete. Contact the Indian Trail Planning Department at 704-821-5401 for more information.

4. Today's Date
   Today's Date

6. Reporting Citizen's Information

8. Name

9. Email Address

11. Address

13. City

14. State

15. Zip Code

17. Phone Number

21. Location of Problem

23. Address

25. City

26. State

27. Zip Code

29. Any Identifying Landmarks

31. What type of problem has been observed?

    1. Signage
    2. Abandoned or junk cars
    3. Junk Material
    4. Overgrown grass or vegetation
    5. Other

33. Description of Problem*

35. Date Problem was Observed
    Date Problem was Observed

39. Property Owner's Information, If Known

41. Name

42. Email Address

44. Address

46. City

47. State

48. Zip Code

50. Phone Number

52. Image Upload 1

53. Image Upload 2

Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field