Legacy Proposal Survey

PROPERTY OWNERSHIP *

MY PROPERTY IS LOCATED ON THIS VILLAGE STREET: *

MY AVENIDA LA CAZA ADDRESS IS: *

MY VIA AGUILA ADDRESS IS: *

MY VIA ALONDRA ADDRESS IS: *

MY VIA BUHO ADDRESS IS: *

MY VIA CODORNIZ ADDRESS IS: *

MY VIA CONEJO ADDRESS IS: *

MY VIA COYOTE STREET ADDRESS IS: *

MY VIA FAISAN ADDRESS IS: *

MY VIA GALLO ADDRESS IS: *

MY VIA HALCON ADDRESS IS: *

MY VIA ORTEGA ADDRESS IS: *

MY VIA OSO ADDRESS IS: *

MY VIA PALOMA ADDRESS IS: *

MY VIA PARDAL ADDRESS IS: *

MY VIA PATITO ADDRESS IS: *

MY VIA PATO IS: *

MY VIA PAVO REAL IS: *

MY VIA PERDIZ IS: *

MY VIA VENADO IS: *

Address *

MY INFORMATION

Email *

Email

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MY SURVEY CHOICE: *

Additional Comments

SIGNATURE (use mouse, stylus, fingernail, etc.) *

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