Citizen Service
Public Works / Storm Sewer Section
Discover All We Have to Offer
1) Selected Service Request :
Swales & Ditches
Cleaning and or grading of ditches or swales that transport water
2) Provide Details
about your Request
Where is Problem:
NOTE. IF THE LOCATION OF THE PROBLEM IS THE SAME AS YOUR ADDRESS
(or there is no problem) YOU DO NOT HAVE TO FILL IN THESE NEXT TWO FIELDS:
Location
Place Name:
3) Enter your Contact information:
Star * = Required Information
Are You Contacting us as:
[
an Individual Citizen ] or [
a Business ]
Thank you.
PLEASE INTRODUCE YOURSELF:
First Name:*
Last Name:*
Business:
Address: -
BREAK YOUR STREET ADDRESS INTO 3 PARTS:
Street Number:*
EXAMPLE [ 134 ]
Street Dir:
EXAMPLE [ NW ]
Street Name:*
EX [ Main St ]
City:
ST:
ZIP:
Contact Information :
MAKE IT EASY FOR US TO CONTACT YOU.
[
Home] [
Work]
Alternate Phone:
[
Home] [
Work]
Fax Number:
Your Email: