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2. Enter PIN:*

   Your PIN number begins with 07- and is located at the top of the doorhanger or letter you received.

3. Don't know your PIN?

   1. Click Here
5. Address*
6. City*
8. Select the deputy stated on the notice:*

   1. Jamie
   2. Alex
   3. Tiffany
   4. Not Sure
10. First Name*
11. Last Name*
13. Email Address*
15. Phone Number*
17. Please provide the requested information below:*
19. Status of the work?*

    1. Haven't started work yet
    2. In progress
    3. Work is Complete
    4. Permit is VOID. No work will be done
    5. Fire/Natural Disaster
21. When do you expect work to be completed?*
    When do you expect work to be completed?
23. When do you expect work to be completed?*
    When do you expect work to be completed?
25. When was work completed?*
    When was work completed?
27. What was the date of Fire/Natural Disaster?*
    What was the date of Fire/Natural Disaster?
31. Document/Picture Upload
41. Affidavit*

    I am the homeowner or I am authorized by the homeowner to submit this response, and all the information I provided on this form is true and correct to the best of my knowledge.

    1. I Agree
45. Contact Information:

    If you have questions regarding this form or the processes of our office, please contact our office at 847-244-1101 x 2. Our office hours are Monday-Friday 8:00 AM to 4:00 PM.

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46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field