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Violation Report

To: Coast Management of California

Attention: *

Re: *

Name of Association

I agree to the following:

All reported violations of CC&Rs and/or Rules & Regulations except emergencies must be made in writing. Please complete this form and send it to Coast Management of California.

Nature of Violation: *

Architectural
Landscape
Pets
Noise/Nuisance

Describe:

Witnesses to violation: *

Date of violation: *

Time: *

Location of violation: *

Person responsible for violation: *

Do you have photos: *

Yes
No
Does not apply

Are you willing to provide a witness testimony?: *

Yes
No

Their Address: *

Unit #: *

Reported by: *

Print Name

Date: *

Your Address: *

Unit #: *

Cell Phone: *

Alternative Phone: *

Email: *

Your Signature: *

Email

No action can be taken without a signature and evidence.

Coast Management of California
818-991-1500

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