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2. When did you discover the issue? (best estimate)*
   When did you discover the issue? (best estimate)
4. Where was this issue discovered?*

   1. Downtown Fuquay
   2. Downtown Varina
6. What business was the issue closest to?
8. What is the issue?*
10. Upload Image of Issue
    Please upload a picture of the issue if you have one.
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12. 1. Receive an email copy of this form.
13. Email address

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14. Submit

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