Hartgrove Township Secure Zoning Complaint Form

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HARTSGROVE TOWNSHIP
5321 STATE ROUTE 534
ROME, OHIO 44085
(440) 474-4114 - PH
(440) 474-4285 - FAX
hartsgrove@ncweb.com
www.hartsgrove.org

Using Hartsgrove Township's Online Zoning Complaint Form below, you can send us information regarding a complaint in your area. Please fill out the requested information below. If you need assistance filling out this complaint form, please contact, Lisa Kovach, Fiscal Officer at hartsgrove@ncweb.com, or by phone at (440) 474-4114 during normal hours.

* Required Fields -

Complaint Information

Date of Complaint *

To Whom It May Concern:

A COMPLAINT is being registered for the address below:

Address of Zoning Complaint (include full address, City, State and Zipcode) *

Permanent Parcel Number, if known

Name of the Property Owner (Required) *

Contact Number (if known)

Please Enter a Detailed Description of Violation or Complaint

1500 Characters Maximum

I am Requesting the assistance of the Township to eliminate this nuisance.

1500 Characters Maximum

Complainant Contact Info may be provided to allow the Township to gain additional information or clarification of the Complaint. (Please note, the Complainant may remain anonymous, if so desired.)

Signature of Complainant

Address of Complainant

Contact Number of Complainant

Complainant Email Address *

Web Security

The following security box must be checked in order for this form to be submitted. This is a safeguard against SPAM and for your Increased SECURITY.

Form 2203-10-001.1

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