E-Gov Services Village of Wauconda

Sink Hole

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Purpose: This form is used to communicate with Village personnel to request services and information related to the ground settling in public right-of-way or other Village property.

* Information is required.

Contact Information

* First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –
Fax:	() –
* Address:
City:
State:
ZIP:

Is the problem location in any of the following areas (check all that apply)?

Parkway/Right-of-Way
Street
Storm Sewer Structure

Manhole
Front Yard

Other information or concerns...

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Click the map where the issue is located. Drag the map point if it needs to be moved.

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Notes:

Upon submitting a request, you will receive a tracking number which may be used to follow up with your request at a later date. If an email address is provided, you may choose to receive a copy of your request via email which includes this tracking number.

Information we receive may be considered public information which is subject to disclosure under current state law.

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