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* 1. Please tell us your top three public safety concerns in your neighborhood.  (Quality of life issues, community concerns, specific problems, community special needs, crime concerns.)

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* 2. Please provide the exact location or general area of concern below (you may include specific address or intersection):

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* 3. Are you interested in attending a town hall meeting?

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* 4. If so, please provide your name (optional).

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* 5. The Sheriff's Department will host town hall meetings in the near future.  Please provide your email address below (required) so we can tell you about future town hall meetings:

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* 6. Please provide your contact information and location (optional, not required).  This will remain confidential. 

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