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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.