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Citizen Action Request

  1. Instructions

    Please feel free to contact us to report:
    - Overgrown vegetation
    - Plugged storm drains
    - Potholes and other street issues
    - Sewer problems
    - Standing water
    - Street lighting

    Your assistance is appreciated.

  2. Specific Location of Occurrence

  3. Address of Occurrence

  4. Please provide any additional information regarding the location that may be helpful (i.e.: northeast corner, back alley, etc.)

  5. Applicant Information

  6. Asterisk represents a required field.

  7. Asterisk represents a required field.

  8. Asterisk represents a required field.

  9. (Optional)

  10. Asterisk represents a required field.

  11. Applicant Contact Requested: Do you wish to be contacted by a city official regarding this issue?

  12. Condition / Problem Description

  13. Optional

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  15. Leave This Blank:

  16. This field is not part of the form submission.