Planning & Zoning Commission Public Comment Form

To speak during the Public Comment Section or during a Public Hearing, please complete this survey by 3pm on the day of the meeting. Email or written comments that have not been requested to be part of the record will be acknowledged during the meeting but not read into the record. Email or written comments that have been requested to be part of the record will be attached to the minutes of the respective meeting.

Before submitting a Public Comment Card, please acknowledge that you have reviewed the Public Comment Procedures.

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Acknowledged *

Acknowledged

Meeting Date

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Do you plan to attend the meeting and speak before P & Z? *

Yes

Contact Information

Name: *

Phone: *

( 222-222-2222 )

Address:

City: *

Zip: *

E-mail: *

If you represent a group or organization, please list:

Visitors may comment either during the Public Comment Section at the beginning of a meeting or during a specified Public Hearing. Comments during the Public Comment Section may be related to any topic that is not a scheduled public hearing item.

I would like to comment during:

Public Comment Section

Public Hearing Item

Please list the Public Comment topic and comment:

Are you the applicant or representative?

Yes

Do you plan to speak at the meeting?

Yes

No. Please submit my comments for this meeting. Public comments submitted by 3pm on the day of the meeting will be provided and included for the record.

Please provide your comments here