Complaint Report
Code Enforcement Division for the City of Grand Junction
*Indicates Required Information
*
Date
:
Parcel No.
(if known)
Subdivision:
*
Address/Location:
Zone:
(if known)
*
Nature of Complaint:
Owner:
(if known)
Resident:
(if known)
Your Name:
Your Address:
Home Phone:
Business Phone:
Additional Information:
(if any):
Before submitting this form, print the form to retain for your records.