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2. Date
   Date
4. Florence County Planning Department
   Codes Enforcement Division
   518 S Irby Street
   Florence, SC 29501
   To the Codes Enforcement Division:
   I am requesting that your office investigate the following alleged violation of Chapter 21 - Nuisances of the Florence County Code of Ordinances.
6. Complaint
8. Location of Alleged Violation (Physical Address)
10. Address
12. City
13. State
14. Zip Code
16. Are you the owner of the property or a tenant?

    1. Owner of Property
    2. Tenant
18. Complainant (Name and Mailing Address of Person Placing Complaint)
20. First Name
21. Last Name
23. Address
25. City
26. State
27. Zip Code
29. Telephone Number
30. Type of Phone Number

    1. Home
    2. Work
    3. Cell
31. Please State the Best Time You Can Be Reached
33. Signature of Complainant
34. Date
    Date
36. Disclosure: This information is subject to the provisions of the Freedom of Information Act and will be provided to the alleged violator. CE - 1Form (revised040811)
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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field