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"Pride in the Old & New"
Please provide the following contact information:
Full Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Work Phone
Home Phone
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Please check all that apply:
Traffic/Congestion/Access Proposed Use Noise that may be generated by the proposed development Density Lack of adequate buffer/landscaping/vegetation Lighting Quality of Life Environmental Issues/Floodplain Overload of Schools/Utilities Water Quality/Disturbance of Rivers, Streams, Creeks Other: Other: Other:
Please feel free to submit other concerns or explanation:
Where is your property in relation to this site: Adjacent Down the street Across the street Next Door Other
Are you: Opposed to the Request In Favor of the Request
Please print and fax to 770-814-3008
Thank you for your input.