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COMMENT FORM Virtual Public Workshop May 25, 2021 through June 15, 2021

I-4 Wildlife Crossing Design Project Northeast Lakeland, Florida Financial Project ID Number: 201214-8-52-01

We'd like to hear from you! Please share your ideas and comments by writing them down here. Additional space for your comments is provided on the back of this form.

How to Submit Your Comments

If you would like your comments to be included in the workshop summary, please complete this form and email by June 15, 2021. If mailing your comments, be sure it is postmarked no later than June 15, 2021.

Please return to:

Mr. Doug Burkhart, P.E. FDOT Project Manager FDOT – District One P.O. Box 1249 Bartow, Florida 33831-1249 Phone: (850) 536-8539 Email: Doug.Burkhart@dot.state.fl.us

Mailing List Information

Please check the box below if you would like to be added to the mailing list and please provide your name and mailing address.

□ Add to mailing list

Name: ___

Mailing Address: ___

Email address (optional): ___

NOTE: The information you provide on this comment form becomes part of the I-4 wildlife crossing project files. This information may be provided to individuals who make a formal public records request.

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Additional Space for Comments – I-4 Wildlife Crossing Design

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