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2. 
4. Any evidence presentation must be submitted to the Code Compliance Department no later than 10 business days prior to the scheduled hearing. The City’s final determination will be based on a number of factors, including but not limited to the following:

   (1) The gravity of the violation(s)

   (2) The length of time and effort it might take to obtain compliance

   (3) The history of code violations at the property in question

6. Case/Ticket Number:*
   Please enter your case or ticket number
7. Hearing Date*
   Hearing Date
   Enter Hearing Date
8. Property Owners Full Name:*
   Please enter property owner full name
10. Tenant/Representative Full Name:
    Enter full name
11. E-Mail Address:*
    Enter your Email address
12. Phone Number:*
    Enter your phone number
14. Property Address in Violation*
    Property street address
15. Suite
    Suite/Apt #
17. City
18. State
19. Zip Code
21. Evidence Description:
    Please describe your evidence
23. Picture / PDF Upload
    Please upload all the supporting documents in PDF, JPG, or PNG format.
25. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
27. Electronic Signature*
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field