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<br />COUNTY OF HAWAII <br />DEPARTMENT OF PUBLIC WORKS <br />HIGHWAY MAINTENANCE DIVISION <br />Fax completed form : (808) 961-8633 <br />POTHOLE REPAIR REQUEST <br />Date: <br />Contact Information <br />Name <br />Phone Number <br />Email Address <br />Pothole Location (Street(s), Cross Street(s), Landmarks, Address, etc.) <br />