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2. Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing. History.—s. 1, ch. 2006-232.
4. Please direct my questions/comments/requests to the following Department:*
   -- Select One --Alarm BillingBuilding PermitsParking CitationPoliceCommunity EventsSupplier Registration Water Billing
6. Full Name*
8. Business Name
10. Email Address*
11. Phone Number
13. Address
14. City
16. State
    -- Select One --ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAVAWVWIWY
17. Zip Code
19. Your Questions/Comments:*
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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