HARRISON COUNTY PUBLIC NUISANCE COMPLAINT FORM
Harrison County Commission - 301 W. Main St. - Clarksburg, WV 26301 - (304)624-8721
COMPLAINTANT INFORMATION
Date of filling the form:
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Month
-
Day
Year
Date
Complainant's Name:
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Name of the company/person against which/whom the complaint is filed:
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COMPLAINT CATEGORY (Check all that apply)
Dogs running at large
Old scrap metal
Stagnant water
Ropes, rags, paper or rubber
Dead animal(s)
Batteries
Rubbish and/or more
Junk vehicles, wrecked machinery
Trash or waste
Pollution of any body of water
Noxious growth of vegetation
Other
The complaint is regarding:
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The specific details and location of the complaint:
*
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