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2. Reported location must be within the Township of Clark. The exact reported location/site address is required. DPW will send an email once the report is received. Please note that DPW will address the issue(s) as soon as possible.
4. Please use one form per request!
8. Contact Information
10. First Name
11. Last Name
13. Phone Number
14. Email Address
16. Street Address:
18. Exact Location of Tree(s)
20. Address*
22. Nearest Two Cross Streets
24. Nature of Request*
26. Comments
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field