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2. If you have a specific request for action to be taken by the County, such as reporting a pot hole or code enforcement concern, you may submit it through our Citizen Comment/ Request Form.
   
   Please complete the entire questionnaire or comment left. Please note, if the information you provide is incomplete or the County has questions about your request or comment, we may not be able to fully investigate if we cannot contact you. Once we determine which department should receive your requester comment, it will be entered into our tracking system.
4. Contact Information
6. Name*
8. Address*
10. Address 2
12. City*
13. State*
14. Zip Code*
16. Phone Number
18. Email Address
20. Request or Comment
22. Please enter address/location in the box provided. Please be as specific as possible.
24. Please enter the details of your request in the box provided.
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

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