Citizen Request Form

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At-Large Position 1

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	Check this box if you would like to be added to our upcoming At-Large #1 news e-mail distribution list
Areas of Interest
	Public Safety (police, fire, emergency services)	Public Works (streets, drainage, utilities, traffic, code enforcement)
	Finance (Budget, TIRZ, Financial Reports)	Parks, Recreation, Environmental Issues
	Health and Human Services	Solid Waste (Solid waste collection, recycling)
	Housing, Planning and Development (affordable housing, neighborhood development, annexation, historical preservation)	Other
Please describe other: