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Drainage Investigation Request

2. First Name*
3. Last Name*
5. Email*
7. Applicant's Address*
8. Applicant's City / State / Zip*
10. Applicant is*

    1. NA
    2. Tenant

    1. Owner
    2. Other
11. Applicant's Daytime Phone Number*
    Example: 317 823-2332
15. Contact Person*
16. Contact's Daytime Phone*
18. Contact's Phone Type*

    1. NA
    2. Home

    1. Work
    2. Cell
22. Property Owner*
23. Owner's Phone*
    Example: 317 823-2332
25. Owner's Address*
27. Describe the Problem*
29. Location by Roads*
31. Location of Work Requested*
33. Name of Drain
34. 16 digit Parcel Number
36. Political Township
    -- Select One --NAAdamsClayDelawareFall CreekJacksonNoblesvilleWashingtonWayneWhite River
37. Section /Twp / RE
39. Subdivision
40. Section
41. Lot
43. Disclaimer
    These requests are usually handled within 48 hours of receipt. However, this processing time does not include weekends or holidays.
45. Destination
    Requests will be sent to the Government of Hamilton County Surveyor's Office. For questions or concerns, please email the Surveyor's Office or call 317-776-8495.
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47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field