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Start - Request Info Personal Info - Finish  

>> Request Information: Information about the service requested

= Required Information
1) Select a problem type from the list below.


2) Describe problem in as much detail as possible.


2a) Is your problem related to Active/New Construction?
Yes    No

2b) If your complaint is about a business complete the following:
Business Namerequired

Accessory Structurerequired: Shed    Utility    Building

Business Licenserequired: Industrial    Residential    Commercial


3) Enter the address/location of the problem or service request. required
Number Direction Street Namerequired Suffixrequired Direction Suite/Apt.
Cityrequired State ZIP Area

If you do not have an address for the problem please describe the location here as clearly as possible.


4) Click "Next" to proceed to Step 2.

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