Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Contact Preference
Phone
Email
Are you the owner of the property listed at the address above?
Yes
No
If no, please provide the owner's name.
What is your relationship to the owner?
Relative
Neighbor
Tenant
Property Manager
Other
Please explain:
Did you attend the in-person open house?
Yes
No
Did you provide comments at the GIS stations or mapping tables?
Yes
No
What is your comment in relation to this location?
Are there any other comments you'd like to share?
Latitude
Longitude
Submit
Should be Empty: