ZONING COMPLAINT FORM

Borough of Delmont

77 Greensburg Street, Delmont, PA 15626

(724) 468-4422  Fax: (724) 468-4356

Zoning Complaint Form

Name of Complainant:                                                                                                           

Address:                                                                                                                                 

Phone:                                                   Email:                                                                       

Street Address and/or Tax Map Number of Property in Dispute:                                                                                                                                                                                         

Nature of Complaint:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

Complainant’s Signature:                                                                      Date:                        

BOROUGH ACTION 

Date of Investigation:                                                

Investigation and Evaluation of Complaint:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          

Action Taken or Recommended:                                                                                                                                                                                                                                                                                                                                                                                           

Date Response Mailed to Complainant:                                                                                

                                                                                                                                               

                                                                                    Zoning Officer