TOWN OF WILLINGTON
LAND USE DEPARTMENT
40 Old Farms Road
Willington, CT 06279
860-487-3123 860-487-3117 fax
COMPLAINT FORM
(Information MUST BE COMPLETE and can be obtained in the Assessors Office)
DATE_________________
ADDRESS OF PROPERTY____________________________________________
ASSESSORS MAP _________________AND LOT NUMBER_________________
NAME OF LEGAL OWNER ___________________________________________
NATURE OF COMPLAINT ___________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
NAME OF COMPLAINANT ____________________________________________
ADDRESS OF COMPLAINANT_________________________________________
________________________________________ Telephone No.______________
SIGNATURE OF COMPLAINANT ______________________________________
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(Office Use)
REFERRED TO:______________________________________________________
DISPOSITION:________________________________________________________
Common/Complaint Form
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