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2. Half Moon Bay values your privacy. All information you provide on this form is kept confidential.
4. Today's Date*
6. Your First Name*
7. Your Last Name*
9. Your Address
11. City
12. State
13. Zip Code
15. Best Phone Number to Reach You*
16. Your Email Address
18. The following information pertains to the location of the alleged code violation
20. Address
    Please provide the address of the property where the alleged violation is taking place
22. City
23. State
24. Zip Code
26. Description*
    Please describe the problem or alleged violation, and provide any other information you feel is useful
28. Date of Violation
    Please provide the date that you viewed the alleged violation, and indicate if it is ongoing
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