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2. Location*
4. Problem*
   -- Select One --Light not onLight on for 24 hoursLight cycles on and offVandalizedPole damagedPothole / Street damage
6. Description
8. First Name
9. Last Name
11. Email Address*
13. Response Time

    We will assess the problem and attempt to make the most routine repairs, such as bulbs or photocell replacement within 5 days.  However, some repairs may take longer depending on the severity of damage and the amount of work required.  We will schedule the repairs as soon as possible.

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

    This field is not part of the form submission.

17. Submit

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