Centreton Community Centre Complaint Against: Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Declaration of Complaint I hereby lay and serve complaint(s) against the above mentioned land owner, and are of the opinion that said property does not conform to the Municipal Property Standards By-Law No. 10-2015 with respect to Section(s) of the By-law listed below, together with the following reasons: Reason 1: Reason 2: Reason 3: Evidence of your complaint Declare to attend Appeals Committee or Court proceedings I hereby declare that if required, I will provide or present evidence in support of this complaint, at any Hearing(s) of the Appeals Committee or Court of Law of Ontario. * Yes No Signature * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Thank you!