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2. 
4. Request for Sidewalk Replacement Inspection

   Please fill out his form in its entirety (feel free to attach photos or additional information) regarding the condition of the sidewalk. Upon receipt a City Inspector will inspect the conditions and may paint, wedge, or grind if deemed necessary for pedestrian safety.

6. First Name
7. Last Name
9. Address1
11. Address2
13. City
14. State
15. Zip
17. Email
18. Phone Number
20. Comments:
22. Sidewalk Replacement Brochure
    Brochure
23. Sidewalk Replacement Policy
    Policy
24. Sidewalk Replacement Resolution
    Resolution
26. Acknowledgement*

    1. Yes
    2. N/A

    I have reviewed the Sidewalk Replacement Brochure, Policy, and resolution and understand the program requirements.

28. Upload File
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field