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Request an Investigation

2. Date
   Date

4. Florence County Planning Department
   Codes Enforcement Division
   518 S Irby Street
   Florence, SC 29501
   To the Codes Enforcement Division:<br>I am requesting that your office investigate the following alleged violation of Chapter 21 - Nuisances of the Florence County Code of Ordinances.

   To the Codes Enforcement Division:
   I am requesting that your office investigate the following alleged violation of Chapter 21 - Nuisances of the Florence County Code of Ordinances.

6. Complaint

8. Location of Alleged Violation (Physical Address)

10. Address

12. City

13. State

14. Zip Code

16. Are you the owner of the property or a tenant?

    1. Owner of Property
    2. Tenant

18. Complainant (Name and Mailing Address of Person Placing Complaint)

20. First Name

21. Last Name

23. Address

25. City

26. State

27. Zip Code

29. Telephone Number

30. Type of Phone Number

    1. Home
    2. Work
    3. Cell

31. Please State the Best Time You Can Be Reached

33. Signature of Complainant

34. Date
    Date

36. Disclosure: This information is subject to the provisions of the Freedom of Information Act and will be provided to the alleged violator. CE - 1Form (revised040811)

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

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