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* 1. What is your property address (House Number & Street)?

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* 2. What is the use of your property?

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* 3. How often have you had more than 6 inches of standing water on your property in the past 10 years?

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* 4. What is the most amount of standing water on your property that you can remember?

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* 5. Does the water enter your building/home?

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* 6. Do you have a basement with useable/finished living space?

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* 7. Does the water force you to leave your property?

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* 8. Does water prohibit you from leaving or getting to your property?

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* 9. When did you first notice flooding to be a problem?

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* 10. What concerns do you have?

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