Minimum Property Standards Complaint Form - Inspection Services

COMPLAINT FORM
CITY OF CAPE GIRARDEAU
MINIMUM PROPERTY STANDARDS

COMPLAINANT

Name____________________________________
Address__________________________________
City_____________________________________
State/ZIP_________________________________
Phone___________________________________

PROPERTY LOCATION
Name___________________________	What actions have been taken to correct this situation?
Address_________________________	Letter to Owner________ Date________
Phone___________________________	Phone Call to Owner/Manager__________
	Other:_____________________________
OWNER /MANAGER	__________________________________
Name___________________________	None: ____________________________
Address_________________________
State/ZIP________________________	DATE INSPECTION SCHEDULED:
Phone___________________________	___________________________________

Complaint of violation per Paragraph________ of Minimum Property Standards (if more than one violation use second form for other complaints).

VIOLATION (Describe in detail): __________________________________________________

____________________________________________________________________________

DEPARTMENT ACTION TAKEN:________________________________________________

____________________________________________________________________________

Signed ______________________________________ Date__________________________

Note: A five day waiting period is required before enforcement action can be taken, so as to make proper notification. Copies of this form will be furnished to all principal parties, i. e. owner, tenant, manager, etc. ANY PERSON FILING A FALSE COMPLAINT OR FOUND IN VIOLATION OF THIS ORDINANCE SHALL BE SUBJECT TO A FINE OF NOT LESS THAN $25.00 AND/OR IMPRISONMENT FOR A TERM OF UP TO 90 DAYS.