Nuisance Abatement Form | Community Coalition for Substance Abuse Prevention and Treatment

Nuisance Abatement Form

Report information

Date: *

Time: *

:

am

pm

Name (of Problem site): *

Your information

Your Name: *

Phone:

Address:

A. Problem Activities

Problem Activities:

Public drinking

Drug sales/use

Alcohol sales to minors

Graffiti

Lewd conduct

Loitering

Noise

Prostitution

Police arrests

Trash

Threats to people

Urination in public

Violence

Other

Problem Activities Other:

B. Length of Time Problems Have Existed

Length of Time:

0-6 months

6-12 months

1-2 years

2 or more years

C. Effect(s) of the Problem on Your Neighborhood

Problem on Your Neighborhood:

Dangerous to passersby

Unsafe to walk near location

Intoxicated persons on the street and/or neighboring properties

Trash on neighboring property

Noise keeps neighbors awake

Unsightly conditions around location

Other:

Problem on Your Neighborhood other:

D. Have You Ever Reported Problems at This Location? (If YES, check below)

LAPD â€“ Precinct:

Month/Year:

Council Office:

Council Office

Month/Year:

Planning Dept./Zoning Administrator:

Planning Dept./Zoning Administrator

Month/Year:

Other::

Other:

Have You Ever Reported Problems Other:

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CoCo Resources

South LA Social Service Database
Category List
Nuisance Abatement Form
Community Bulletin Board
Youth and Workforce Development

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