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This form can be used to inform the Village Manager of any type of Resident concern. All Resident concerns will be investigated and you will receive an answer by return e-mail. Please complete the requested information and click to send the form.
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| Name of Resident: | |
| Date: | |
| Address: | |
| Home Phone: | |
| Work Phone: | |
| E-mail Address: | |
| Name of Owner (if different from above): | |
| Nature of Concern: | |
| : | |
| To prevent automated SPAM, please enter FBSG to submit your form (case sensitive): | * |
* indicates required field
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