2. Name*
4. Address*
6. City*
7. State*
8. Zip Code*
10. Phone Number*
11. Email Address
15. What is the nature of your request?*

    Choose one.

    1. Road Maintenance

    1. Property Tax Information Request

    1. Board of Supervisors Agenda
17. What type of road maintenance concerns do you have?
19. What type of property tax information are you requesting?

    1. Address
    2. GIS
    3. Listing Information
    4. Owner
    5. Parcel Number
    6. Valuation Information
21. Please provide specifics about the information you are requesting.
23. Preferred Meeting Date
25. What subject would you like to address with the Board of Supervisors?
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27. 1. Receive an email copy of this form.
28. Email address

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29. Submit Submit and Print

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