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2. Address/Location of Vacant Parcel*

   Please provide an address, Assessor's Parcel Number, or description of the property you are reporting. 

4. Date of Report
   Date of Report

   Date of Report
6. Reporting Party

   Your name (not required)

8. Photos

   Please provide photos of the property, if possible 

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10. 1. Receive an email copy of this form.
11. Email address

    This field is not part of the form submission.

12. Submit

* indicates a required field