Request For Enforcement

2. Town of Wellesley - Building Department
   Request for Enforcement

   Request for Enforcement

6. Alleged Violation Information
   I am basing my allegations on the facts below, and understand that as the complainant, I may be asked to participate with the Inspector of Buildings/Zoning Enforcement Officer by appearing jointly with him/her at court in the event the Inspector of Buildings/Zoning Enforcement Officer is personally unable to verify my allegations, there by requiring legal proceedings to enforce the regulation referenced below. Pursuant to the below allegations I am requesting an investigation and enforcement if applicable.

   I am basing my allegations on the facts below, and understand that as the complainant, I may be asked to participate with the Inspector of Buildings/Zoning Enforcement Officer by appearing jointly with him/her at court in the event the Inspector of Buildings/Zoning Enforcement Officer is personally unable to verify my allegations, there by requiring legal proceedings to enforce the regulation referenced below. Pursuant to the below allegations I am requesting an investigation and enforcement if applicable.

8. I believe the following is being violated:*

   1. Town Bylaws
   2. Zoning Bylaws
   3. State Building Code

10. Describe Violation*

12. Address of Alleged Violation*

14. Name of Property Owner (if known)

18. Complainant Information
    The following information is required. Failure to provide your name, address, and telephone number will result in the Inspector of Buildings/Zoning Enforcement Officer to process the complaint at his/her discretion.

    The following information is required. Failure to provide your name, address, and telephone number will result in the Inspector of Buildings/Zoning Enforcement Officer to process the complaint at his/her discretion.

20. First Name*

21. Last Name*

23. Address*

25. City*

26. State*

27. Zip Code*

29. Phone Number*

30. Email Address

32. Certification*

    1. By checking this box, I am certifying under the pains and penalties of perjury that the information provided above is true and correct.

Leave This Blank:


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

    This field is not part of the form submission.

36. Submit Submit and Print

* indicates a required field