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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 visit our website at: https://www.swflroads.com/project/441524-1. All comments must be submitted by February 10, 2023.

□ Check box to be included on future emails and newsletters

Name:___

Email Address: ___

Address: ___

Public participation is solicited without regard to race, color, national origin, age, sex, religion, disability or family status. Persons wishing to express their concerns about Title VI may do so by contacting Cynthia Sykes, District One Title VI Coordinator, 801 N. Broadway Ave., Bartow, Florida 33830, call (863) 519-2287, or via email 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;'>Christopher SpeeseFDOT Project ManagerFlorida Department of Transportation10041 Daniels ParkwayFort Myers, FL 33913</td></tr></table>