Planning Committee Voting Form
Submit your official vote on current planning committee agenda items. Your responses are confidential and will be used for committee records.
Full Name
*
First Name
Last Name
Committee Role/Title
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Meeting Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Agenda Item(s) Being Voted On
*
Please vote on the following agenda item(s):
*
Rows
Approve
Reject
Abstain
Item 1
1
2
3
Item 2
4
5
6
Item 3
7
8
9
Please provide comments or rationale for your votes (optional)
Signature (draw your signature to confirm your vote)
*
Submit Vote
Submit Vote
Should be Empty: