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	Citizens Service Request Form Printer-Friendly Version Thank you for taking the time to help improve our City. Citizens may request services for one of the categories below.  So that we may better serve you, please make sure to provide the required information. This form is for NON-EMERGENCY requests only.  For immediate response in emergency situations please call 911. Choose from the following: Checkboxes Checkbox Description Checkboxes Checkbox Description Pot Hole Repair Speeding Cars on Street Tree Trimming or Dead Tree Illegal Parking Trash Complaint / Illegal Dumping Loitering Complaint Street Name Sign Graffiti Removal Traffic Sign Barking Dog Traffic Signal Malfunction Parks and Playgrounds Water Quality Issues Possible Water Leak in Roadway Sewer Manhole Cover - Loose or Missing Other - Please specifiy below in Additional Info section Please provide the following information: Field Description Field Data Required Field Name: required Email: required Address: required City: required State:   Phone: required Alt Phone:   Additional Info: Field Description Field Data

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