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2. Name*
3. Date*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Email Address*
14. Would you like to sign up for Transportation CIP email communications?*

    1. Yes

    1. No

    Transportation CIP email communications are used for announcing news regarding the annual update of the Transportation CIP, including when documents are available for review and opportunities to provide input. The City's Public Works Department may also contact you to follow up on your submitted comment(s) to obtain more information and/or update you on the status of your input. Your contact information will not be shared for any other purpose other than those described above. You may request your email address be removed from the contact list at any time by unsubscribing within the email or contacting the Public Works Department.
16. Please select the nature of your comment:*

    1. General (Overall)
    2. General (Project Specific)
    3. New Project
    4. Change Existing Project

    If you are providing comments regarding new projects or changing existing projects, please submit one form for each project.
18. Please include the Transportation CIP ID, if providing comment on an existing project.
    The seven-digit identification number can be found in the Transportation CIP document, located on the left-hand side of each page.
20. Project Location and Bounds:*
    Please provide the location of the project you are commenting on and the bounds.
22. Comment / Description of Project:*
24. Feel free to attach any maps and/or other supporting information.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field