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2. 
4. 
9. All information provided in this form is subject to Freedom of Information Act requests subject to State law.
11. Property Address
13. Name of Property Owner or Business Name (If Applicable)
15. Email Address of Nominee
16. Phone Number of Nominee
18. Nominated By*
20. Reason for Nomination*
22. Upload a Picture of the Property Improvement
24. Email Address of Person Making the Nomination
25. Phone Number of Person Making the Nomination
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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