Ward 17 Community Survey

Date
   
Title: *
Name: *
Address:
Postal Code: *
Contact Number:
Email Address: *
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In order of importance, what do you think are the two greatest problems on your street or in your neighbourhood?  (All concerns will be followed up on and kept strictly confidential).

Concern #1:
Why?:
Concern #2:
Why?
Do you have an interesting or innovative idea to improve your street, neighbourhood or city? Tell us about!
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