Date of Public Hearing:

Application Number: (e.g.: "RZ/FDP-1999-LE.....")

First and Last Name:

Name of group or association you are representing. If you are not representing a group or association, type N/A.


Street Address:


City & State:

Zip Code:

*Telephone number on the day of the public hearing:

Email Address (for confirmation of registration from Planning Commission Office):

*The Planning Commission staff utilizes daytime telephone numbers to contact registered speakers in those instances where a scheduled case is deferred, or a meeting is cancelled.