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2. Public Works Information Request Form
4. First Name*
5. Last Name*
7. Email Address*
9. Company
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
21. Request Information
23. Is the area requested for private property or a street ROW area?*

    1. Property Parcel
    2. Right of Way Area
25. Subdivision Name
    Name of subdivision, if applicable.
26. Tax Assessment Number:
    Assessor number of property or properties
28. Tract ID's
    Tract ID information
30. Street
    Requested ROW Street Name
31. Blocks
    Address Block numbers of requested Street
33. As-Built Index File Numbers
    As-built file numbers, if known.
35. Type of Information Desired (required)*

    1. General Information (General availability of Water, Sanitary Sewer or Storm Drain utilities near the applicable site)
    2. Detailed Information (Often may include full As-Built information with plans and profiles of underground utilities)
    3. Other
37. What other Information?*
39. Included Utilities and Information (at least one selection is required, select all that apply)*

    1. Sanitary Sewer
    2. Water
    3. Storm Drain
    4. Streets/Sidewalks
    5. Topo/Grading
    6. Other
41. What other information is requested?*
43. Additional Comments
45. File Upload (one file only)
    Upload location maps, survey or other information to identify location
47. Disclaimer: Any “As-Built” information requested that may be provided, was originally supplied to the City, in hard copy format, by the applicable stamping engineer, then it was scanned to file for retention purposes. Any “As-Built” and/or “Schematic” and/or “Contour/Topo”, and/or other information that may be provided may not indicate the most current/actual conditions. The City does not verify all information provided nor does it guarantee its accuracy. The use of any information that may be provided by the City will be completely at your own risk. You should always field verify the actual availability and locations of all types of utilities before beginning any construction/digging activities. You must verify with U Dig One.
49. I accept the disclaimer and I understand that this request may take up to one week to process.*

    1. I Agree
Leave This Blank:


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit Submit and Print

* indicates a required field