Please state briefly in what way(s) you believe that the City of Hollywood may have violated your

rights under the United States Constitution, federal law, tbe Florida State Constitution, Florida State

law, or the City of Hollywood Code:

If you believe that the City of Hollywood, or any other local goveriment or municipality, has

discriminated against you in the implementation of its zoning or'land use laws, in addition to

completing 9 s c o m p h t , please contact the United States Department of Justice at:

(202) 514-4713 . .

You may also write to:

United States Departme& of Justice Civil Rights Dtvkion

Housing and Civil Enfarcement Section 950 ~enns~lvania A ve, il! W., -G St

.. . ' Washington,DC20530

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