HomeMy WebLinkAboutithacany/18#2325-2023-01-04T13:53:05+00:00.pdf TOI-Complaint Form Applicant Location
CODE-23-1 IFD Prevention 1028 Ellis Hollow Rd
null Unit Ellis Hollow Apartments
fpbmail@cityofithaca.org Ithaca, NY 14850
Complaint Details
Relationship to Property Date of Violation
Fire Department 01/04/2023
Full Address of Property Type of Complaint
- Property Maintenance
Detailed Description of Complaint
Extreme amount of insects in apt. 236. Bugs were crawling on crew members within seconds of making entry.
Location Comments
Complainant Information
Complainant Name Complainant Address
Ithaca Fire Department -
Complainant Phone Complainant Email
Signature
Static Field I agree that my electronic signature is equivalent to a
I affirm that the statements and information contained in this handwritten signature and is binding for all purposes related
application and submitted in conjunction with this application are to this transaction
true and accurate to the best of my knowledge. true