City Council Contact Form

2. First Name*

3. Last Name*

5. Address1

7. Address2

9. City

10. State

11. Zip

13. Email*

14. Company

16. Message

18. Do you want a confirmation or followup email from a city staff member regarding your concern?

    1. Yes, please contact me to confirm that the issue has been resolved.
    2. No, no need to follow up with me.

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20. 1. Receive an email copy of this form.
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