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2. 
4. Address of Property on Citation*
6. Citation #*
8. Date of Citation*
10. Sections of Code Contesting*

    Please use comas for each code you are contesting.

12. Remarks:
14. Name*
16. Mailing Address*
18. City/State/Zip Code
20. Daytime Telephone*
22. Signature of Petitioner*

    By typing your name, you are signing this form.

23. DATE*
    DATE
25. PLEASE REFER TO YOUR CITATION FOR THE DATE AND TIME OF YOUR HEARING.
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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