| 76 West 6th Street |
www.pennsburg.us
|
Office: 215-679-4546 |
| Pennsburg, PA
18073 |
|
Fax: 215-679-5140 |
|
Resident Concern Report
Please print out this form and fax,
mail, or return to the above address.
Date:______________________
Your Name:_______________________________________Phone
#:____________________
Your
Address:________________________________________________________________
Email
Address:_______________________________________________________________
Signature:___________________________________________________________________
Please describe specific nature of concern and include as many facts
as possible:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Location of concern: ___________________________________________________________
This form is to be used for
concerns regarding Code and other Borough Ordinance violations.
Written complaints assist the Borough in the follow-up and
resolution of these types of issues. Anonymous complaints cannot be addressed
due to enforcement issues. While every effort will be taken to keep
names and/or information confidential, it cannot be guaranteed if
enforcement action results in Court or hearing examiner proceedings. Depending upon the nature of the violation, you
may be requested to testify at an enforcement proceeding. The
Borough of Pennsburg thanks you for your efforts in improving the
quality of life for the community.
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