Below we have listed various problems that may or may not exist in your neighborhood. Please review each of these items and let us know what concerns you the most. Please rank the items with regard to how import they are to you. (1 being the most important to 5 being the least important)

____ Drugs ____Sidewalks ____ Street Repair

____ Prostitution ____ Dilapidated Houses ____ Traffic Patterns

____ Arson ____ Weeds and Poorly Kept Yards ____ Off Street Parking

____ Vandalism ____ Clean up of Alleys ____ Speeding

____ Assault ____ Clean up of Streets

____ Stray Animals

____ Loud/Noisy

Please list your other concerns below:

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Please make sure to provide us with your name and address so that we can contact you with any questions and also so that we can group our responses by Ward.

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Name

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Address

If you are interested in helping us shape a new and better community to improve the quality of life for everyone on the West

Side please give your:

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Phone Number

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 E-Mail Address