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3. 

6. **IF THE BUSINESS IS LOCATED INSIDE THE CITY OF CARROLLTON, THE CITY OF BREMEN, OR INSIDE FAIRFIELD PLANTATION THEN THE FIRE MARSHAL FOR THAT DISTRICT SHOULD BE CONTACTED**

8. BUSINESS NAME*
10. BUSINESS STREET ADDRESS*
12. CITY*
14. FIRE CODE VIOLATION EXPLAINED IN DETAIL*
16. IF YOU WISH TO HAVE A FOLLOW UP PHONE CALL OR EMAIL REGARDING THE FINDINGS THEN PLEASE PROVIDE THAT BELOW
18. FOLLOW UP PHONE NUMBER
19. FOLLOW UP EMAIL ADDRESS
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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