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Government
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Forms
Pothole Repair
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Pothole Location
Street number and name:
*
*
Landmark, intersection, etc:
City:
*
State:
*
Zip code:
Surface type:
*
Asphalt
Gravel
Other
Location on road surface:
*
Travel lane
Shoulder
Driveway apron
Centerline
Crosswalk
Other
Approximate size:
*
Medium
Small
Large
Noticed date:
*
Time:
*
Comments:
Photograph:
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Your Information
Name:
Street number and name:
Address line 2:
City:
State:
Zip code:
Phone number:
Email address:
Preferred contact method:
*
Do NOT contact me
Email
* indicates required fields.
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Government
Our City
Services
Business
How Do I?
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