Zoning Complaint Form

Zoning Compliant Form

Complainant Information

First Name *

Last Name *

Address *

City *

State *

Zip *

Phone *

Email *

Is the issue outlined within this complaint visible from a public street or area? *

If no, I hereby give the Township's authorized agent permission to enter upon my property to investigate this complaint.

Complaint Information

Address of Complaint *

City *

State *

Zip *

Location of Issue on Property *

Date/Time Issue Started *

Is the issue currently ongoing? *

Description of the issue *

Automobile Information (if applicable)

Make

Model

Color

License #

Compliance Information

I certify that the above-mentioned property and all information listed above is true and correct to the best of my knowledge.

Applicant Signature:

538 Seven Points Road
Sunbury, Pennsylvania 17801

(570) 286-1283
(570) 286-2659