Statement of Zoning Violation

Fill in the statement below, print it, sign it, and give it to the Zoning Inspector.

STATEMENT OF ZONING VIOLATION

Form No. 5

This statement is voluntary given to the JERSEY TOWNSHIP Zoning Inspector this

Date statement is given

Charging (name)

with the understanding that he may initiate legal proceedings in a court of competent jurisdiction charging the person named above with violating the JERSEY TOWNSHIP Zoning Resolution.

In the event such legal proceedings are initiated. I will appear to testify in court to the facts stated in the following statement.

Date

Signature

Address

Statement

Prior to (date)

the property located at

was being used for

On (date) I noticed that the above described property being used for

Being used for

and in my opinion this is in violation of Section(s) of the JERSEY TOWNSHIP Zoning Resolution.

Describe below the uses being made of the property giving exact data and time where possible.

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