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2. 
3. Citizen Participation Form
5. Citizens wishing to address the City Council, Planning & Zoning Commission, Zoning Board of Adjustment or any other Board may submit comments on any topic or agenda item electronically by utilizing this Citizen Participation Form. All online forms must be received no later than 5:00 p.m. on the date of the meeting. They will be provided for the record.
7. Date*
   Date

   Date
8. Meeting Type:*

   1. City Council
   2. Planning & Zoning Commission
   3. Zoning Board of Adjustment
   4. Other Board (please name below)
10. If Other is checked above, please name the Board meeting in which you wish to participate. (MCDC, Parks, MDA, Historic Advisory or UAB)
12. First Name*
13. Last Name*
15. Address*
17. City*
18. State*
19. Zip*
21. If you wish to be contacted please provide the following:
23. Phone Number:
24. Email Address:
26. Organization represented, if any:
28. Residence:*

    1. Inside city limits
    2. Outside city limits
29. Speaker Status:*

    1. Speaker
    2. Non-Speaker
30. Type of Participation:

    1. Citizens to be heard.
    2. Specific Agenda Item
31. Representing Applicant?

    1. Yes
    2. No
33. Agenda Item to be addressed:
    (If not speaking under Citizens to be heard.)
34. If applicable:

    1. In Support
    2. In Opposition
36. Statement to be provided to the Council, Commission or Board:
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field