CANTERBURY WOODS - Citizen Complaint Form

Date: *
Address of property about which you are making a complaint: *
Description of the Complaint: *
How long has this problem been going on?
What covenant or ordinance do you think situation this violates? *
Have you attempted to do anything about this? *	Yes No
If so, what?
Have you presented this complaint to the county of Fairfax?	Yes No
If so, who at the county did you contact and what was the response:
What would you like the Civic Association to do to help you resolve this matter in an amicable way?
Your Name:
Address/Phone: