Apply to join the Sidewalk Repair Program

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About You
Your Name(Required)
First Last
Your Address
Street Address Address Line 2 City ZIP Code
How Can We Reach You?
What's the best way for us to get in touch with you?
Preferred Method of Contact
Your Email Address(Required)
Email Address Confirm Email Address
Your Phone(Required)
Best Time to Call You(Required)
Acknowledgement(Required)
I agree to the policy.
By signing below, I agree that I shall comply with all applicable building codes in the repair of my sidewalk.
I also acknowledge that the Town assumes no current or future liability for the repair of my sidewalk.
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