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  1. The City of (Your City) Fix It Form will help us identify a problem in your area - and fix it fast. Should a problem require urgent attention, please call us immediately. For a police emergency, dial 911. Otherwise, call (XXX) XXX-XXXX.

    Thank you for your assistance!
  2. Contact Information
  3. Please indicate the nature of your problem by checking the appropriate box(es) below:
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