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2. 
4. Ohio Drainage Law
   Please read Ohio Drainage Law before submitting a complaint
6. Date:*
   Date:
8. Full Name:*
10. Street Address:*
12. Phone Number:*
14. Email Address:
16. Type of complaint:*

    Select all that apply

    1. Lot flooding
    2. Home flooding
    3. Sanitary backup
    4. Construction runoff

    1. Erosion
    2. Illegal dumping
    3. Other (describe in Comments section below)
18. Comments:
20. Please attach up to 6 photos below
22. Image 1
23. Image 2
24. Image 3
26. Image 4
27. Image 5
28. Image 6
32. INVESTIGATION (for City use only)
34. Date:
    Date:
36. Investigator(s):
38. Comments:
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit Submit and Print

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