Form Center

2. Public Comment Form
   Please complete this form to submit your public comment to the Community Development office. If you have any questions please contact Community Development at 515-961-9430, or email: ComDev@indianolaiowa.gov
4. First Name*
5. Last Name*
7. Street Address*
8. Apt / Suite Number
10. City*
11. State*
12. Zip Code*
14. Email Address
16. Agenda Information
    - Please indicate the date of the meeting your comment relates to. The type of comment you are submitting. The Agenda item number and title as it appears on the published agenda.
18. Agenda Date*
    Agenda Date
19. My comment applies to:
    -- Select One -- -- Select One -- Specific Agenda ItemPublic Comment (item not listed on the agenda)
20. Agenda Item Number & Title
22. Public Comment*
    Complete a new form for each topic.
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field