Interest List, Concrete Repair Program

2. Request that your name be added to the interest list for the City's Concrete Repair Program. The City has a modest amount of funding each year to fix limited locations.
   
   If you want your sidewalk fixed now, please consider the 50-50 Sidewalk Repair Program. The Program reimburses property owners up to 50% of the cost of repair to a maximum of $1500 per property.

4. First Name*
5. Last Name*
7. Email Address*
8. Phone*
10. Address*
11. Zip Code*
13. Photo of Damaged Sidewalk
15. Comment or Question
Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field