1

What kind of comment would you like to send us?

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What kind of comment would you like to send us?

Compliment

Complaint

Problem

Question

Other

2

What would you like to comment on?

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What would you like to comment on?

Projects

Home-based business permits

Mixed-use permits

Other

3

If other, please describe:

If other, please describe:

4

Enter your comments in the space provided:

Enter your comments in the space provided:

5

What is your name?

What is your name?

6

What is your email address?

What is your email address?

7

What is your phone number?

What is your phone number?ext.

8

Would you like us to contact you regarding this issue?

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Would you like us to contact you regarding this issue?

Yes (If yes, please be sure to fill out your contact information above)

No

9

Preferred Contact Method

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Preferred Contact Method

E-mail

Phone

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2. Email Address

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