2. 

3. Town of Shady Shores

   Report of Concern

   101 S. Shady Shores Rd. 

   Shady Shores, TX 76208

   940-498-0044

   
   

5. The Town of Shady Shores Report a Concern will help us identify a problem in your area. Should a problem require urgent attention, please call us immediately. For a police emergency, dial 911.

   Thank you for your assistance!

7. Contact Information
9. First Name
10. Last Name
12. Address1
14. Address2
16. City
17. State
18. Zip
20. Phone Number
21. Email Address
23. Please indicate the nature of your problem by checking the appropriate box(es) below:
25. 1. Pothole
    2. Damaged curb
    3. Traffic signals
    4. Weeds
    5. Dogs barking
    6. Abandoned vehicles
    7. Chemical discharge
    8. Water leaking
    9. Litter

    1. Road striping
    2. ADA Complaint
    3. Blocked drainage channel
    4. Street Lights
    5. Damaged sidewalk
    6. Traffic/Road signs
    7. Overhanging trees/shrubs
    8. Noise nuisance

    1. Hazardous parking
    2. Storm sewer leaking/blockage
    3. Water leaking on roadway
    4. Loose/protruding manhole cover
    5. Discrimination Complaint
    6. Fair Housing Complaint
    7. Illegal Discharge to the Storm Water System
    8. Other
27. Brief Description (or other problem not listed)
29. Location of Problem
31. Submit Supporting Documentation
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

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