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Drainage Complaint Reporting Form

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1. Step One This section is complete This section is incomplete
2. Description/Action This section is complete This section is incomplete

Step One

First Name
Last Name
Reporting Community/Agency:
Phone Number:
Date of Occurrence:
Time of Occurrence:
Location Address of Drainage Complaint
Address1
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Description/Action

Description of Drainage Complaint:
Is this location on Private Property - If so, does the City have permission to enter the property?
1. Yes
2. No
Do You Request a Follow Up?
1. Yes
2. No

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Lima Municipal Center

50 Town Square

Lima, OH 45801

Phone: 419-228-LIMA (5462)

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