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2. Department*
   -- Select One --AssessorClerk's OfficeCustomer Service CenterFinance DepartmentGeneral RequestLibraryPlanning & Development/Building InspectionPolice DepartmentPublic WorksSenior Resource CenterVillage Manager's Office

   Select the department you wish to send a request to. This site is not always being monitored. So please allow one business day for response. IMPORTANT: This request form does not accept requests for night parking permission. If you need to request temporary night parking permission, visit http://www.villageofshorewood.org/189/Parking

4. First Name*

5. Last Name*

7. Address1

9. Address2

11. City

12. State

13. Zip

15. Email*

17. Phone

    If you would like to be contacted by phone, please include number.

19. Please describe the nature of your request / concern.*

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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

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