City of American Canyon : Form

City of American Canyon, California

Location of Problem:

Date:

Type of Concern
(Check box(es) in list below)

Overgrown and/or Dead Vegetation Creating a Hazard

Garbage/Rubbish Accumulation

Inoperable or Unregistered Vehicle on Private Property

Public Health and Safety Hazards (e.g., Refrigerator, Washer Machine, Clothes Dryer, Ponds or Pools accessible to children)

Graffiti on Private Property

Construction or Alterations or Repairs to Structure Without a Permit

Substandard or Dangerous Building (includes lack of utilities)

Illegal Fence

Parking Vehicle on Non-Paved Surface (must be visible from a public street)

Business Operating Without a License

Home Occupation Operating Without a Permit

Zoning and Land Use Violation

Illegal Sign

Noise Nuisance (e.g., rooster)

Obstruction of Public Right-of-Way (e.g., basketball goal on sidewalk or roadway)

Other: Describe below

Description of Concern:

Your Contact Information *

Name:

Address:

Phone:

Email:

* It is the policy of this program to make every reasonable effort to keep the complainant’s information confidential. The complaining party must provide their name, address, and phone number before action will be taken. This information is requested so that we may contact you for further information, if necessary.

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