Citizens Request

2. Last Name*
3. First Name*
5. Address*
7. Home Phone*
9. Work Phone
11. Cell Phone
13. Email*
15. Activity
    -- Select One --Building DepartmentCity Administrator / Mayor's OfficeClerk's Office / Public RecordsCode EnforcementFire DepartmentPolice DepartmentWater BillingCommuter Parking LotCreeks, Ditches, & CulvertsDrainage / FloodingE-brief Newsletter Sign-UpFire Hydrant / B-BoxesForestry - Trees / Branch PickupRoad ProgramSanitary SewersSidewalksSignsStorm SewersStreet LightsStreet SweepingRequest / Comment Not Listed Above
17. Description
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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