HomeMy WebLinkAboutithacany/18#1510-2022-10-11T18:35:19+00:00.pdf TOI-Complaint Form Applicant Location
CODE-22-70 Janet F 200 Conifer Dr
607-000-0000 Ithaca, NY 14850
janf1313@gmail.com
Complaint Details
Relationship to Property Date of Violation
Tenant 10/11/2022
Full Address of Property Type of Complaint
- Property Maintenance
Detailed Description of Complaint
Garbage room on 1st floor contains rodents and maggots that can be seen spreading out of room.
Location Comments
Garbage room, 1st floor. Need access inside building, call contact when arriving.
Complainant Information
Complainant Name Complainant Address
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