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## COMMENT FORM

Comments may be provided in one of three ways: complete the form and place in the ‘comments’ box, mail comments to the address on the back of this form, or email our project manager at  Joe.Lauk@dot.state.fl.us. All comments must be submitted by November 9, 2026.



Name:___ Email:___

Address:___

☐ Check box to be included on future emails and newsletters

FDOT solicits public participation without regard to race, color, national origin, age, sex, religion, disability, or family status. People who require special accommodations under the Americans with Disabilities Act or who require translation services (free of charge) should contact Cynthia Sykes, District One Title VI Coordinator, at (863) 519-2287 or e-mail at Cynthia.Sykes@dot.state.fl.us.

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<table border=1 style='margin: auto; word-wrap: break-word;'><tr><td style='text-align: center; word-wrap: break-word;'>Place Postage Here</td></tr><tr><td style='text-align: center; word-wrap: break-word;'>Joe Lauk, P.E., MS-41Florida Department of Transportation801 N. Broadway Ave.Bartow, FL 33830</td></tr></table>