Lot Complaint Form | Douglas County Fire District 2

Webform

THIS SECTION IS ABOUT THE VIOLATION

BE AS CONCISE AND COMPLETE AS POSSIBLE. ONE PROPERTY PER COMPLAINT FORM.
PLEASE COMPLETE ALL SECTIONS OF THIS FORM.

VIOLATION INFORMATION

Address of the Violation

Description of Location

Property Owner (If Known)

Occupants of Property (If Known)

Phone Number

Explanation of Fire Hazard

THIS SECTION IS ABOUT YOU

IT MUST BE COMPLETE FOR US TO ACT ON THE MATTER

COMPLAINANT INFORMATION

Your Name

Your Address

Phone Number

If necessary, may we have permission to enter your property to view the subject violation?

Yes

CONFIDENTIALITY PREFERENCE: If you believe that disclosure of your identity would endanger your life, physical safety, or property, you may request that your identity not be disclosed under Chapter 42.56.240 RCW. Disclosure of information revealing your identity will depend on application of this Chapter (the Public Disclosure Law), other applicable laws and wheather the complaint prosecuted. With those understandings, if you prefer that you identity NOT be disclosed, simply write your initials in the space provided.

Initials

Signature

Date

THIS SECTION IS ABOUT THE FIRE HAZARD

PLEASE PROVIDE THE MOST ACCURATE INFORMATION POSSIBLE

Fire Hazard Information

Are there evergreen tree within 10 feet of the hazard?

Yes

Are there dry weeds or grass 3 feet tall within 10 feet of the property line?

Yes

Approximate distance from the hazard to a structure on your property?

Total Area of Hazard

Douglas County Fire District #2 will inspect the property in question to determine if the adjacent properties are in danger. If a threat to your property is determined, a letter will be sent with a date set to comply.

A property owner can be a fire hazard/danger to his/her own property. Action can only be taken if they pose a threat to adjacent properties and/or structures.