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This Violation Must Be Corrected Within - Days From Date of Receipt
This Violation Must Be Corrected Within - Days From Date of Receipt
Antwerp Township
24821 Front Avenue
Mattawan, MI 49071
269.668.2615
Date: ____________________
Name: ______________________________________________
Address: ____________________________________________ City:_____________________
Home Phone: (______)______________________ Work Phone: (______)__________________
Property Number: 80 -________-__________-__________-________
Tax Plate Number:_______________________
Owner/Occupant (if different than above):____________________________________________
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Description of Violation:_________________________________________________________
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