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2. 
3. The Town of Maysville FixiT Form will help us identify a problem in your area - and fix it fast. Should a problem require urgent attention, please call us immediately. For a police emergency, dial 911. Otherwise, call 910-743-4441.
   
   Thank you for your assistance!
5. Contact Information
7. First Name*
8. Last Name*
10. Address*
12. City*
13. State*
14. Zip*
16. Phone Number*
17. Email Address*
21. Details
23. Please indicate the problem by choosing from the following options:*

    1. Abandoned vehicles
    2. ADA complaint
    3. Blocked drainage channel
    4. Chemical discharge
    5. Damaged curb
    6. Damaged sidewalk
    7. Discrimination complaint
    8. Dogs barking

    1. Fair housing complaint
    2. Hazardous parking
    3. Litter
    4. Loose/protruding manhole cover
    5. Noise nuisance
    6. Overhanging trees/shrubs
    7. Pothole
    8. Road striping

    1. Storm sewer leaking/blockage
    2. Street lights
    3. Traffic/road signs
    4. Traffic signals
    5. Water leaking
    6. Water leaking on roadway
    7. Weeds
    8. Other
25. Brief Description (or other problem not listed)*
27. Location of Problem*
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

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