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2. Concern*
   -- Select One --Animal at LargeAnimal CrueltyBlocked DrainageBlocking of SidewalkBrush Pick UpDown Power LineEmployee ConcernsFoul OdorGarage Sale PermitsGarbage Can ReplacementHigh WeedsIllegal DumpingIllegal ParkingJunk VehiclesLow Tree LimbsLife Safety/Unsafe Work EnvironmentPark Use ViolationsMunicipal CourtPot HolesRubbishSewer BackupSolicitorsSpeeding VehiclesStreet Lights OutStreet Sign Missing/DownUnsafe StructuresWater LeaksZoning ViolationsOther
4. Location*
6. Details*
10. Report-A-Concern submittals are subject to being read during City Council meetings. Contact information is not required, but we cannot insure follow up for the completion of task if there are unanswered questions regarding the reported concern.
12. Contact Name*
14. Contact Address*
16. City*
17. State*
18. Zip Code*
20. Contact Email*
22. Contact Phone*
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24. 1. Receive an email copy of this form.
25. Email address

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26. Submit

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