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* 1. Please provide your contact information for potential follow up questions from City staff.

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* 2. Does your property or the roadway adjacent to your property, have any drainage/stormwater issues?

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* 3. If you selected "yes" to stormwater drainage issues in the previous question, please answer the following questions:

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* 4. Optional private storm sewer connections will be included, as needed. These connections are one option to help move downspout or sump pump water away from your home. Would you be interested in a private storm sewer connection?

If selecting yes, please contact Lauren Striegl at lstriegl@cityofmadison.com for more information.

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* 5. Are you aware of any sanitary sewer issues with your property, such as back-ups?

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* 6. Do any residents at the property have any accessibility concerns that you wish to share with us?  When necessary, we can include specific requirements in the construction specifications to assist with accessibility concerns during the course of construction.

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* 7. Are there any items adjacent to or within the public right-of-way that we should be aware of prior to starting construction?  Please keep in mind that if you want to save any special improvements within the right-of-way, such as landscaping, pavers, invisible fencing, sprinklers, etc., you will need to remove these items prior to construction.

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* 8. Any other issues or concerns related to the project that you would like to share with us?

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* 9. What are your key concerns about transportation as you move around the neighborhood? Please rate the following depending on whether you consider it a low, moderate or high concern for your neighborhood.

  Low Moderate High
People not stopping at stop signs.
People driving not yielding at crosswalks
People driving not yielding to people biking
Speeding
Access to safe walking routes for people of all ages and abilities
Access to safe biking routes for people of all ages and abilities
Vehicles passing too close to people biking or walking in the street
Access to transit routes
On street parking availability
Cut through traffic
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