Purpose. This form is used to communicate with Village personnel to request barricades or obtain information related to having a block party.
* Information is required.
Contact Information
Requestor Location.
If the address is the same as above, please reenter the address here.
| * What is the date and approximate time of the block party? |
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| Other information or questions... |
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Check here to have email confirmation of this request sent.
* Information is required.
Notes:
If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.
Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.
Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.