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Citizen Request Form

Please correct the field(s) marked in red below:

If you have a specific request for action to be taken by the City, such as reporting a pot hole or code enforcement concern, you may submit it through our Citizen Request Form.

Please complete the entire questionnaire. Please note, if the information you provide is incomplete or the City has questions about your request, we may not be able to fully investigate if we cannot contact you. Once we determine which department should receive you request, it will be entered into our tracking system.

Please Note: (*) indicates required fields.
1
Contact Information
 *
Contact Information
2

Nature of Concern

 *
Nature of Concern
  1. To receive a copy of your submission, please fill out your email address below and submit.