Thank You for Your Submission

2. Primary Issue*
   -- Select One --Light OutLight Cycles On/OffKnocked Down PoleOther
4. Please Describe Issue*
6. Address Closest to Streetlight*
8. First Name*
9. Last Name*
11. Your Email Address*
12. Your Phone Number*
14. If you are reporting a knocked down streetlight pole, please contact Hennepin County Dispatch at 952-258-5321.*

    1. I will contact Hennepin County.
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16. 1. Receive an email copy of this form.
17. Email address

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18. Submit

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