Bylaw Incident Form: Unsightly Premises (Attachment 9)

Bylaw Incident Form

TOWN OF VIEW ROYAL Bylaw Enforcement 280 Island Hwy, Victoria, BC V9B 1G5 Tel. (250) 727-7903 Fax: (250) 727-9551 http://www.viewroyal.ca

Please note: Your name, address and telephone number are received by the municipality in confidence. This confidentiality cannot be guaranteed if this complaint results in court proceedings. Release of this information is governed by the provisions of the Freedom of Information and Protection of Privacy Act.

COMPLAINANT:

• Name: [Redacted]
• Email:
• Address: [Redacted] Ave
• Postal Code:
• Telephone: [Redacted]
• Date: June 2/14

NATURE OF COMPLAINT:

Unsightly Premis. Garbage accumulation @ 14 Helmcken Rd. email attached

By signing this complaint, I agree that I will testify in court on this matter if required.

FOR OFFICE USE ONLY

• Date Rec'd Bylaw:
• File No: 2014-0125
• Mode: email
• Complaint Code: 60
• Officer: ec