City of Louisiana Request Form

City of Louisiana Request Form
Routing*

MayorCity AdministratorPolice ChiefCode Enforcement
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

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Postal / Zip CodeCountry
Category*

OtherStreetsWaterWaste WaterGroundsCode EnforcementBuilding InspectionPublic Safety/PoliceFireAdministrativeCity CouncilJudicial/Court
Location
Request*
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