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2. City of Flagler Beach
   Code Enforcement Alleged Complain Form
4. Alleged Violation Address*
6. City
7. State
8. Zip
10. Description of Alleged Violation*
12. Person Filing Complaint (First and Last Name)*

    In accordance with Florida Statute 162.06(b), anonymous code enforcement complaints cannot be processed or acted on. 

14. Address*
16. City
17. State
18. Zip
20. Email*
21. Phone number*
25. Date of Complaint
26. Case Number
28. Complaint Received

    1. Office Visit
    2. Phone

    1. Other
29. If other, please explain

31. Action Taken
33. Date
34. Report
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60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit Submit and Print

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