If you are unable to attend the Public Hearing, but wish to have your opinions made a part of the public record, please fill out this form as accurately as possible and submit before 12:00 p.m. on the day the hearing is to be held. Any inaccuracies may lead to your submission not being processed properly. Once submitted, your comment will be provided to the Commissioners and included for consideration before a ruling is made.

If a submission is received after the date of the hearing, it will not be considered.

Application Number:

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Application Number:

Public Hearing / Meeting Date:

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Public Hearing / Meeting Date:

I am: 

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I am:

IN FAVOR OF the request

NEUTRAL TO the request

OPPOSED TO the request

First and last name:

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First and last name:

Address:

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Address:

Please provide your contact information in case there are questions about your submission.

Please provide your contact information in case there are questions about your submission.

Phone:

E-mail:

Please provide your comment / statement here.

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Please provide your comment / statement here.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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