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Sewer Complaint Form

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Please correct the field(s) marked in red below:

1
Date:
 *
2
Alleged Violators Name:
3
Alleged Violators Phone #:
4
Location of Alleged Violation:
Location of Alleged Violation:
5
Is the Alleged Violation located inside the City limits?
Is the Alleged Violation located inside the City limits?
6
Subdivision:
7
Acreage:
8
Violator's Mailing Address:
 *
Violator's Mailing Address:
9
County:
 *
10
JP Precinct:
 *
11
Residence:
 *
12
Name of Person Submitting Complaint:
 *
13
Complainant Phone #:
 *
14
Nature of Complaint:
 *
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