Fire Hazard Form

What does the hazard involve?

	Other:

Business or Property Owner(s) Name

Address or Location

Telephone

Describe the fire hazard here

How do you know this information? (personally
witnessed or heard, overheard in conversation, etc.)

I wish to remain anonymous.

Note: The following is optional. If you wish to remain anonymous submit your request without completing the following.

Name

Address

Phone Number

Please contact me as soon as possible regarding this matter.

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Clark County Community Development: Marty Snell, Director
Street address: 1300 Franklin Street, Vancouver, WA 98660
Mailing address: P.O. Box 9810, Vancouver, WA 98666-9810
Main phone: (360) 397-2375 | Fax: (360) 397-2011
E-mail: commdev@clark.wa.gov

For questions or comments regarding the Clark County Web site: Webmaster@clark.wa.gov