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2. By entering your personal information, you consent to receive email communications from the survey author's organization based on the information collected.
4. Please provide your contact information.
6. First Name*
7. Last Name*
9. Street Address*
11. City*
12. State*
13. ZIP Code*
15. Contact Phone*
16. Email*
18. Street where your property is located.*
    -- Select One --Harrison StreetVan Buren StreetVirginia StreetJackson StreetOregon StreetMonroe StreetMadison StreetGeorgia StreetJefferson StreetAzalea TerraceBougainvillea TerraceCrocus TerraceDaffodil TerraceEucalyptus TerraceFoxglove TerraceGreenbriar TerraceHyacinth Terrace
20. Are you familiar with the completed projects of the undergrounding of overhead utilities and streetscape beautification from Thomas Street to Tyler Street?*
    -- Select One --YesNo
22. Did you watch the introductory video for Phase IV?*
    -- Select One --YesNo
24. Please provide your comments.*
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26. 1. Receive an email copy of this form.
27. Email address

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28. Submit

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