1. Questions 1-4

The City of Newark is conducting an area-wide evaluation of the stormwater system in the study area to identify and resolve problems.  In order for us to better serve you, it is important that we are made aware of stormwater sewer problems your property may be experiencing. Thank you for working with us to address these issues.

Name (optional)

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* 1. Name (optional)

PROPERTY ADDRESS:
**IMPORTANT**

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* 2. PROPERTY ADDRESS:
**IMPORTANT**

Verify Address:  Check one

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* 3. Verify Address:  Check one

How long have you been located at this address?  (years)

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* 4. How long have you been located at this address?  (years)

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