Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Westbury Manor-CS 990521
CY REPORT employees seeing or receiving a citizen complaint involving a deficiency located within the city. EMERGENCIES SHOULD BE REPORTED TO THE APPROPRIATE DEPARTMENT/DMSION IMMEDIATELY Location of problem (be aa specific as pe~ible) Nearest Crosa Street Reported By: Complaint Take~ By: DEi~JDI~. E'hone Number Date Complainant: ~Xl for) /~ -~,-' ~t'~ Addre~: / / Forwarded to~ __ Env. Health __ Fire __ Public Wori~ __ Police ~__ Other STREETS BUILDINGS PUBLIC WORKS OTI:I~R Exce~lve Litter Smd~u T~mch __ Grallltt/N~ls P~mt __ Street Light Out -- Broi~n Pavement Light out/Broi~m Street Light Knockover __ Excessive Weeds ~ Broken Curb/ -- Fixture __-- Traffic Signal Out , ~ Illegal Dump -- Sidewalk Broken Wimlow __ Traffic Signal Knockover ~ Inoperable Vehicle Faded Street/Curb ~ Sewage Complaint/ F]oodlights out/Dmnaged (Not on Stzeet) ~ Paint ~ Water Leak __-- Signal Lights __ Almmlomed Vehicle Pre.ent Sign Need~ Blowing Trmh Other (Wiflfln l~.ht-of-Way) -- -- ~ Other Repair/Replacement __ Dilapidated Fence, -- __ Storm Drain Need~ Bidg/Stracturo Cleaning __ No Permit__ · __ Abandonded Barricade/ Pylon ~ Other ~ Other Physical Inspection Shows thc Following: Date: --~f~, - . w--i~ '-' -.. .- ~ ·._ · -t,----- -,---' DEFICIENCY FORM REVVED 2./93