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2. 2021 Alpine County Community of Interest Worksheet

4. *Please note that providing your name and contact information is OPTIONAL. Before you supply personally identifying information, please note that all form submissions are party of the County's public record.*

6. First Name
7. Last Name
9. Phone
11. Email
13. 1. Are you a resident of Alpine County? if YES, which District do you reside in?
15. 2. What is the nature of the bond or common interest of your Community of Interest? (Describe what the common interests of your community are and why they are important. Use additional paper, if necessary.)
17. 3. Where are the boundaries of your Community of Interest? (Define boundaries by using streets, addresses, key landmarks, natural barriers, or other boundaries. Use additional paper, if necessary.)
19. 4. What is the underlying principle for your Community of Interest? (Describe how the issues before the Commission/Board have a unique impact on your community. Use additional paper, if necessary.)
21. 5. What do you like or dislike about the current district boundary lines? (Use additional paper, if necessary.)
23. 6. Is there anything else you would like us to consider?
Leave This Blank:


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

    This field is not part of the form submission.

27. Submit

* indicates a required field