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S
umner County
Board of Zoning Appeals
355 N. Belvedere Drive Room 202, Gallatin, Tennessee, 37066
OFFICE: (615) 451-6097 FAX: (615) 451-6074
UNPERMITTED BUSINESS COMPLAINT FORM
Address of Violation:
Date Submitted:
Tax Map:
Group:
Parcel:
Acres:
Zoning:
Owner of Property Potentially in Violation:
Date Potential Violation Was Last Observed:
Complainant Name:
Address:
City:
Zip Code:
Phone:
Email:
May staff visit your property to observe the violation? Yes No
Best Date/Time:
Briefly describe the nature of this complaint to include what kind of business is being operated, observed hours of
operation and vehicular traffic, etc. Attach additional sheets if necessary.
I hereby certify that this information is true to the best of my knowledge. I also understand that this document is a public
record and may be requested by any resident of the State of Tennessee as part of a Public Records Request. I also
understand that this document could be used in a lawsuit or other legal proceeding at some point in the future.
Signature of Complainant: ______________________________________________________________________
Type of Investigation
Resident Complaint:
County Initiated:
Interagency:
Note: Citizen Complaints must be accompanied by this completed a
nd signed form in order to be investigated. County Initiated
investigations typically result from Staff making an initial observation of the violation in progress while in the area, or receiving notice
of the violation from an Elected or Appointed County Official. Interagency Complaints are reports received from outside agencies such
as a Municipality or State or Federal Agency, which require County Investigation.
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