Alleged Zoning Violation Form

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Please correct the fields below:

Please correct the field(s) marked in red below:

*Indicates Required Information

Alleged Violator's Information:

Alleged Violator's Name: (if known)

Alleged Violator's Address (address of violation):

*

Alleged Violator's Address (address of violation):

Nature of Alleged Violation:

*

Nature of Alleged Violation:

Location of Violation (if not obvious from the street):

Complainant's Information:

Complainant's Name:

*

Complainant's Name:

Complainant's Daytime Phone: (xxx-xxx-xxxx)

*

Complainant's Daytime Phone: (xxx-xxx-xxxx)

Complainant's E-Mail:

Complainant's Address:

*

Complainant's Address:

Check this box to request your name be kept confidential with respect to requests from the public for release of information in accordance with the Freedom of Information Act.

Check this box to request zoning staff contact you with follow up regarding this violation.

Important Note
By submitting this form, you are attesting to the validity of this complaint and acknowledge your willingness to appear in court as a witness against the alleged violator of the City of Fairfax Zoning Ordinance. Please be advised that you may be contacted by telephone to verify the information contained in this form.

To receive a copy of your submission, please fill out your email address below and submit.
Email Address