Adelaide Street Underpass Contact Form

PLEASE NOTE: This form is for property and business owners/operators in the immediate project area of the Adelaide Street Underpass. The personal information collected on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c. 25, and will be used by the City of London and project partners to contact you in relation to the Adelaide Street Underpass. Questions about this collection should be addressed to Manager, Public Engagement, Major Projects, City of London at 251 Dundas Street, London, ON N6A 4L9. email: arosebru@london.ca

First name*

Last name*

Email address*

What is the address of your property near the Adelaide Street Project?

Please provide address information for the property that is located within the project area.

Street number (and unit or suite if applicable)*

Street name*

Where should we send mailed communications about the project?

Please provide the address where you want to receive mailed communications from the City of London about the project.

Street number (and unit or suite if applicable)*

Street name*

City*

Province*

Postal code*

My connections(s) to the project (select all that apply)*

Select

Additional Information that will help us keep you informed

Phone number

Is there anything else you would like to share to help us communicate with you better throughout the duration of the project?

Send me a copy of my responses

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