Zoning Enforcement Officer Verification
(for office use only)

Owner:___________________________________________          S-T-R: ___________

Mailing Address:_________________________________________  Zoning: __________

City, State, Zip: _____________________________________  Township: __________

Appraiser PID#: ____-____-____-___-___-______.______

Lot: _________ Subdivision: ________________________________

Inspection Date: ____________________

Violation Exists?  _____Yes    _____No        Violation #: ______________

Remarks: _____________________________________________________________________