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2. Planning and Zoning Office
   Report a Zoning Issue
4. Name*
5. Email Address*
7. Phone Number*
9. Address*
11. City
12. State
13. Zip Code
15. Location of Issue*
    (Enter nearest address, intersection, or landmark)
16. Is this issue a health hazard?

    1. Yes
    2. No
18. Description of Issue*
    Please describe in detail the issue and state how long it has been occurring. Please also inform us if this in an animal control issue and if you contacted law enforcement.
20. Please Note
    We will respond to your concerns within 1 to 7 working days. The Jefferson County Surveyor’s Office does not have jurisdiction within the city or towns.
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field