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BLIGHTED HOUSING REPORTING FORM


* indicates a required field.

*Name:			*Address:
*Zip:			*Parish:
*City			Longitude:
Latitude:			*Property Type :

Property Condition:
*Roof:			*Frame:
*Yard:			*Foundation:




View Blighted Housing in Your Area

Assistance is available on an equal basis regardless of race, color, familial status, national origin, religion, sex or handicap.