Alleged Zoning Violation Form
Property Owner's Information:
(if different from Alleged Violator's information)
Property Owner's Name:
Property Owner's Address:
Alleged Violator's Information:
Alleged Violator's Name:
Alleged Violator's Address:
Nature of Alleged Violation:
Directions to property from Leesburg:
Complainant's Information:
Complainant's Name:
Complainant's Daytime Phone:
(xxx-xxx-xxxx)
Complainant's E-Mail:
Complainant's Address:
Check box to request your name be kept confidential with respect to requests from the public for release of information in accordance with the Freedom of Information Act.
Important Note
By submitting this form, you are attesting to the validity of this complaint and acknowledge your willingness to appear in court as a witness against the alleged violator of the Loudoun County Zoning Ordinance.
Please be advised that you will be contacted by telephone to verify the information contained in this form
.
