Forms • Cocoa • CivicEngage

Junk, Inoperable and/or Abandoned Vehicle: Vehicle continuously parked, not driven regularly and/or expired tags or no tags. Vehicle parked on grass or vacant lot.

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Brief Description*
Problem Location
Street Number and Name:*		*
Address Line 2:
City:*
State:*
Zip Code:
Photograph:
Your Information
Name:*
Street Number and Name:*
Address Line 2:
City:*
State:*
Zip Code:*
Phone Number:*
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