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2. Town of Wellesley - Building Department
   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.
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.
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