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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. (Optional)

  7. Do you wish to stay anonymous?

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

  9. Optional

  10. Optional

  11. Leave This Blank:

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