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2. This page is not monitored outside of City Hall hours. If this concern is being submitted after hours or on a weekend and is an EMERGENCY -  please contact the proper authorities.

   All concerns reported below will remain anonymous.  

4. Brief Description
8. Problem Location*
10. Photograph

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    (DOC, DOCX, XLS, XLSX, TXT)

14. Your Information

    If you would like to be notified regarding your concern, please provide your contact information below. 

16. Name
17. Email Address
19. Address
21. City
22. State
23. Zip Code
25. Phone Number
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27. 1. Receive an email copy of this form.
28. Email address

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