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2. Type of Sign

   1. House Number
   2. Intersection
3. Road Name
5. What is missing or damaged on the sign?
7. Is the sign down or missing?

   1. Yes
   2. No
8. Do you know who has it?

   1. Yes
   2. No
10. Other comments (sign location, etc.)
12. A daytime phone number where you may be reached:
13. If house number sign, name of owner:
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

* indicates a required field