Date:


Dear WSNA Zoning and Code Enforcement Committee:

We wish to report what we believe to be an illegal conversion of a 
single family house and/or code violation.  The address of the house is:

_______________________________________, Binghamton, NY.


ZONING VIOLATION: To the best of our knowledge, there are 
approximately ___ unrelated persons living in this house, 
in an R-1 or R-2 District.

CODE VIOLATIONS: To the best of our knowledge, the following City
codes are being violated:
_______________________________________________________________

_______________________________________________________________.

We therefore request that you report this violation of the City's 
Laws to the appropriate City official, so that he or she can take 
action.  I understand that my name will not be submitted to the
City by the West Side Neighborhood Association.



Yours sincerely,

Name:_________________________, Address: ________________________

Name:_________________________, Address: ________________________


Please describe or attach any additional proof that you might
have, including names of residents, photographs showing names
on mail box or indicating code violations. (Additional proof
is not required.) 


Mail this form to the following address:

WSNA, Inc.
P.O. Box 223
Binghamton, NY 13905