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2. Pot Hole Report for Public Services Department
   If you happen to notice a pot hole in the street, it is possible we missed it. Please use this "Report a Pot Hole" form to let us know. Fields marked with asterisk * are required.
4. Name*
6. Email Address
8. Phone Number*
10. Location of the Pot Hole That Needs Repair*
12. Other Comments / Details
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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

* indicates a required field