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2. Who would you like to contact?*

   1. Building Department
   2. City Clerk
   3. City Manager
   4. Mayor/City Council
   5. Police Department
   6. Report a Website Problem
   7. Public Works
   8. Other
3. If you selected "Other", who?
5. Your Name*
7. Your Email Address*
9. Please include any questions or comments:*
11. Address
13. City
14. State
15. Zip Code
17. Phone Number
19. Organization Name
21. How long have you lived in Atlantis?

    1. 0 to 1 Year
    2. 1 to 3 Years
    3. 3 to 5 Years
    4. 5 Years and Longer
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

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