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2. First Name*
3. Last Name*
5. Street Number*
6. Street Name*
7. Apt #
9. City
10. State
11. Zip Code
13. Phone Number
14. Email
16. Are you interested in having improvements made to Polk Street?*

    1. Yes, definitely
    2. No, I am not interested in this project

    Polk Street Traffic Calming Project from N 26^th Avenue to Dixie Highway will consist of reallocating a lane for a separated bicycle lane, improved sidewalks and crosswalks, ADA upgrades, and new landscaping.

17. Are you interested in having improvement made to West Park Road?*

    1. Yes, definitely
    2. No, I am not interested in this project

    West Park Road Traffic Calming Project between North Park Road and N 56^th Avenue will consist of reallocating one eastbound/west bound lane for a separated bicycle lane, improved sidewalks and crosswalks, ADA upgrades, and new landscaping.

19. How will you be impacted by this project?*

    1. My property directly fronts a proposed location.
    2. I live in the neighborhood, but my property will not be directly impacted.
20. How will you be impacted by this project?

    1. My property directly fronts this proposed location
    2. I live in the neighborhood, but my property will not be directly impacted.
22. Which option do you prefer?*

    1. Option A: bi-directional bicycle lanes
    2. Option B: two multi-use paths
    3. Option C: other
23. Please share your ideas for other options
25. Please tell us how this project could benefit you and your family.
26. Please tell us how this project could benefit you and your family.
28. Please share any additional feedback regarding these proposed projects.
30. Thank you for taking the time to share your feedback.
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