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Sidewalk Repair Request Form

Sidewalk must be within Charlotte city limits

Please complete the following information.

*Indicates required fields for submitting request.

Date*
Name*
Address*
City*
State*
Zip*
E-mail
Home Phone*
Work Phone
 
Please provide us with the following information about the sidewalk repairs needed:
Street Address*
 
Description of Repairs Needed*
 
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