City of Mesa, Arizona

Neighborhood Contacts Records Request

Citizen Participation Plans are required for various types of Planning Department applications to ensure that applicants pursue effective citizen participation.  Please complete the Citizen Participation Request form below if you are requesting Registered Neighborhood and Registered/HOA contacts.  Please be certain to include the radius of the area you are attempting to notify.  If you have any questions, please contact the Neighborhood Outreach Coordinator for the area you are attempting to notify.  Find the Neighborhood Outreach Coordinator for the area you are attempting to notify. 

 

Company Name Your Name Phone

Email Address City, State  Zip

One of the following must be selected before a records search will be conducted
By completing this form, I hereby certify under penalty of perjury that the requested records will not be used for commercial purpose as defined by ARS 39-121.03> Yes	The records will be used for commercial purpose. Yes If the record will be used for commercial purpose, please state the purpose

PROJECT AREA

Parcel Number

Exact Address of Project (required)

Major Intersection

Brief Project Description

NOTIFICATION RADIUS

1/2 Mile
Mile
Other (please explain)

CONTACTS REQUESTEDRegistered Neighborhood Primary/Secondary Contacts only
All Registered Neighborhood Contacts
HOAs

 

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