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2. I would like to request that the following location in the City of Paris be considered for the installation of a new streetlight.

4. Enter the location for new streetlight - please list a nearby address, the street and block number or the nearest intersection.*
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Phone Number*
19. Acknowledgements*

    I understand that this is a request for a new streetlight and it will be evaluated by city staff with a final decision to or not to install a new streetlight at the requested location being made by the Paris City Manager.

    By checking the "I agree" box below, you agree and acknowledge that 1) your request will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree
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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

* indicates a required field