PERRYOPOLIS BOROUGH OFFICE OF CODE ENFORCEMENT 312 Independence Street Perryopolis, PA. 15473 Borough Office-724-736-4441 / (Code Office)- 724-366-8001 Borough Fax- 724-736-4783- Email- perporousheyho.com Citizen's Complaint Form Please complete, sign and return to the township building in person, fax, or email * = Required Field * Address of Violation *Alleged Violations: Check all that apply with a description and location in the space provided below: Over Height Weeds / Grass / Trees / Dead Vegetation(s) Abandoned or Junk Vehicles *Complainant Name and Address is required Trash / Litter / Debris Name: Open / Vacant Structures Address: Outside Storage Date: /20 Fences / Garages in Disrepair Phone # Roads (Complainant name is not given out to the public) Other Illegal Burning Illegal Parking Please provide a detailed description oft the violation you have checked: Please be advised that if this complaint results in a citation, you may be called & asked to testify in Magistrates Court Date of action: Action: Comments: Complainant Signature: Form must be signed to ensure accurate processing of complaint and follow-up