PORTS - ROC the Block Survey

1.Neighborhood(Required.)

2.Address of the concern(Required.)

Address

Address 2

City

State

ZIP

3.Concern(Required.)

4.What action would you like to see taken to address your concern?(Required.)

5.How do you define success or what would you like to see accomplished with ROC the Block?(Required.)

6.Do you wish to be contacted by the department handling the concern?(Required.)

Yes

Current Progress,

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