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2. Please complete the online form below to submit your complaint about reporting a pothole, alley issues, or other street failure.
4. 
   
6. Contact Information
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10. Name:
12. Address:
14. Telephone Number:
16. Email Address:*
18. 
    
20. Location
22. 
    
24. Specify Location:*
26. Intersecting Street:
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28. 1. Receive an email copy of this form.
29. Email address

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30. Submit

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