Request a Fire Safety Defensible Space Inspection

2. Address to be Inspected

4. City

5. State

6. Zip Code

8. Name of Property Owner or Resident

9. Email Address of Property Owner or Resident

11. Phone Number of Property Owner or Resident

12. Assessor's Parcel Number of Property

14. Fire Concerns on Property:

    Check categories AND include written remarks below

    1. Unsafe dwelling, dangerous building
    2. Fire hazards - Commercial building
    3. Fire hazards - Vacant Lot (Weeds, Brush, etc.)
    4. Fire hazards - Defensible space (dwelling, apartments, condos)
    5. Home occupation - Commercial uses in a residential zoning district
16. Describe Property Concern:

    Specific details required.

18. Your Name

19. Your Email Address

21. Your Address

23. City

24. State

25. Zip Code

27. Your Phone Number

28. Date Submitted

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field