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This form will help us to identify issues in your area and address them quickly.  Should a problem require urgent attention, please call us immediately at (763) 706-3700.  For  a police emergency dial 911.

   
Contact Information (optional)   All contact information is confidential.

Name:


Address:


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Location Details     For a timely response, please provide a detailed location description.
Street Address  
   
Intersecting Street (if applicable)

Attachment
 

Describe location in detail (e.g. middle of road, behind garage, backyard, etc.)