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2. FIELDS NOTED WITH * ARE REQUIRED. If your concern involves tree/debris obstruction in road, water coming out of the the ground or pavement, sink holes, sewer backup, frozen water meter, or traffic light is out please contact 219-462-6174 ext 0 immediately. Your request for information will be directed to the correct department based on the chosen topic. Please provide us with as much information as possible so we can assist you better. Thank you.
4. First Name*
5. Last Name*
7. Address
9. City
10. State
11. Zip Code
13. Phone Number*
14. Email Address*
16. TOPIC:*
    -- Select One --Alley InspectionCity Tree Inspection Damaged/Missing Street SignsDamaged/Missing Water Box/LidsHigh Water ConsumptionManholesNoisy Water MeterPotholesSewer MainsSidewalk InspectionStorm InletTraffic Light ConcernWater Quality Other (add detailed comments)
18. QUESTION / COMMENT*
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