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2. Name*
4. Email*
6. Type of Street Issue*
   -- Select One --PotholeMissing Street SignMissing Traffic SignOther
8. Exact Location*
10. Additional Comments

12. We will do our best to add your issue to our maintenance list. Work cannot be completed until all information is received. If you have questions, call 585-336-6090.

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14. 1. Receive an email copy of this form.
15. Email address

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16. Submit

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