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2. Introduction
   The Community Development Department is interested in feedback from residents, nonprofit organizations, businesses, and City employees. This form is intended to solicit information about the overall community development and housing needs of the City of Fitchburg. All comments received by January 30, 2021 will be considered in the preparation of the Year 47 Community Development Block Grant Annual Action Plan. From your perspective, please provide comment on any of the needs listed below. Whenever possible, please explain the specific need and population to be addressed and, if applicable, the area of the City in which the need identified is the greatest. If addressing multiple areas of concern, please note the priority level (1 is the top priority, 2 is the next highest priority, etc.). If you need more space, please attach additional pages. To contact Community Development Staff, please email CommDev@FitchburgMA.gov or call 978-829-1890.
4. Housing - Quality
   (Where possible, please note the type of housing needed, specific populations to be served, areas of greatest need)
6. Housing - Affordability
   (Where possible, please note the type of housing needed, specific populations to be served, areas of greatest need)
8. Infrastructure
   (Includes water, sewer, streets, sidewalks, etc.)
10. Parks and Playgrounds
12. Special Populations
    (e.g. elderly, veterans, disabled, children, etc.)
14. Public Services
    (Includes youth programs, homelessness services, elder services, etc.)
16. Economic Development
18. Other – Please Specify
20. Contact Information
    All information on this page will be kept confidential. Contact information may be used to respond to the comments above, if applicable.
22. First Name
23. Last Name
25. I am a (check all that apply)

    1. Resident
    2. Representative of a Nonprofit Organization (specify organization name below)
    3. City of Fitchburg Employee (specify department below)
    4. Fitchburg Public Schools Employee
    5. Fitchburg Business Owner (specify business below)
    6. Other (specify below)
27. Specify above, if applicable
29. Address
31. City
32. State
33. Zip Code
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35. 1. Receive an email copy of this form.
36. Email address

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37. Submit

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