Planning Commission Remote Public Comment Sign-In

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PLEASE READ BEFORE SUBMITTING FORM:
If you wish to provide oral public comment at the upcoming Planning Commission meeting, please fill out this form to be added to the Speakers List. You must sign up by 6:30 p.m. the evening of the meeting. Directions for how to participate remotely will be sent to you by 6:30 p.m. the evening of the meeting you have signed-up to speak at. If you have any questions, please contact the Planning Commission Clerk at choekzema@shorelinewa.gov.

NOTICE: This Survey will time out if this form has been open on your screen for more than 30 minutes. In this instance, please refresh the page before filling out and submitting.

THE CLERK WILL EMAIL YOU TO CONFIRM THAT YOUR FORM HAS BEEN RECEIVED. If you do not hear back by 6:00 the night of the meeting, please call 206-801-2514.

Please correct the fields below:

Please correct the field(s) marked in red below:

1

First and Last Name:

First and Last Name:

2

Telephone # (that you will be using to call in):

Telephone # (that you will be using to call in):

3

Residential Address:

Residential Address:

4

Email Address:

Email Address:

5

Will you be providing comment on an agenda item, or on a topic that is not on the agenda (general comment)?

Will you be providing comment on an agenda item, or on a topic that is not on the agenda (general comment)?

Agenda Item

General Comment

To receive a copy of your submission, please fill out your email address below and submit.
Email Address

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