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2. This form is for the Engineer's Department Only. For COVID Complaints and health concerns please contact your local Health Department.
4. Date*
   Date
6. First Name
7. Last Name
9. Email
11. Address
13. City
14. State
15. Zip Code
17. Complaint / Comment Location
    Please make sure to specify the county road.
19. Describe Issue*
    Please be as detailed as possible.
21. For roads located within the City of Youngstown, please visit the City of Youngstown Street Department webpage for contact information.
23. City of Youngstown Street Department
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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