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2. The City of Chardon FixiT Form will help us identify a problem WITHIN THE CITY LIMITS-- and attend to it promptly. If a problem is an EMERGENCY, dial 911.
   *For immediate assistance, please call police dispatch at: 440-286-6123. Please allow for one full business days for non-urgent requests to be addressed.
4. Contact Information
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Email Address*
20. Please indicate the nature of your problem by checking the appropriate box(es) below:
22. Problem(s)

    1. Pothole
    2. Weeds
    3. Road Striping
    4. Damaged Sidewalk
    5. Noise Nuisance
    6. Water Leaking on Roadway
    7. Damaged Curb

    1. Abandoned Vehicle
    2. Blocked Drainage Channel
    3. Traffic/Road Signs
    4. Hazardous Parking
    5. Loose/protruding Manhole
    6. Other
    7. Traffic Signals

    1. Street Lights
    2. Overhanging trees/shurbs
    3. Storm Sewer Leaking/Blockage
    4. Litter
    5. Property Maintenance
    6. Zoning Issues
24. Location of Problem (Must be WITHIN CITY limits.)
    How do you know if the location is in the City? It will have a 3-digit address; pay a water/sewer monthly bill & pay city taxes.
26. Brief Description
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field