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2. City of Norton
   Employee Action Request
3. Complainant Requests Anonymity

   1. Yes

   1. No
5. Requested By : Name
6. Received Date and Time
   Received Date and Time

   Received Date and Time
8. Address
10. City
11. Phone Number
13. Referred to

    *Please note, all Zoning Complaints/Violations such as high grass, weeds, junk motor vehicles, etc.  must be made through the OpenGov portal.

    Visit the Zoning page, under Zoning Application, click on the link to be directed to the OpenGov site and follow the prompts.

14. Department

    1. Administration
    2. Fire

    1. Police
    2. Service
16. Information / Complaint Regarding:
18. Received By
19. Department
21. Follow-up
23. Lineal Feet
24. Pipe Size
26. Ditching
28. Complaint Notified:

    1. In Person
    2. Telephone

    1. Mail

    1. Other

    1. Notification Not Necessary
30. Date
    Date
31. By
33. Approved By
34. Date
    Date
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

* indicates a required field