Dunes City • 82877 Spruce St , Florence , OR 97439
PO Box 97 , Westlake , OR 97493
Phone: (541) 997-3338 • Fax: (541) 997-5751

Complaint FORM    Printable pdf

Pursuant to Dunes City Nuisance Ordinance No. 176

(Please print all except signature)

COMPLAINANT:

Name:                                                                                                             Date:                                                 

Phone:                                                                         Best Time to Call:                                                                 

Address:                                                                                                                                                                     

SUBJECT OF COMPLAINT (name and address, if known):

Name:                                                                                                             Phone:                                               

Address:                                                                                                                                                                     

NATURE OF COMPLAINT:

(If more space needed, continue description of complaint on back.)

COMPLAINTS PER NUISANCE ORDINANCE #176

1. ANIMALS

2. PUBLIC SAFETY (Unsafe Buildings)

3. VEHICLES (Discarded / Inoperable)

4. PUBLIC HEALTH (Debris accumulation/stagnant water/pollution of a body of water/unsanitary conditions.)

5. PUBLIC PEACE (Unreasonable Noise)

6. OTHER (Unenumerated nuisances)

Complainant Signature                                                                       Date

Received By:                                                                                                                                                              

              Title: