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Drainage Complaint Form
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Date
*
Name
*
Address
*
Email Address
*
Phone Number
*
Have you ever contacted the Village about drainage issues regarding this property?
*
Yes
No
If you answered "Yes" to the above question, are the issues similar to the issues you are currently experiencing?
*
Yes
No
Description of the Issue:
*
Is the drainage issue being generated by a neighboring property?
If so, please provide the following information.
*
Yes
No
Neighbor's Name
Neighbor's address
Neighbor's phone number
* indicates required fields.
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