Better Jacksonville Plan (Opinion Poll) Direct Input page: http://www.geocities.com/fltaxpayer/2000b572/poll.html Answer Sheet: Print this form and record by hand ..... if surveyor has no computer at home ..... or..... surveyor has computer with only one phone line. Input this info. to above poll site later.

Survey No:	_______________1_______________	_______________2_______________
E-Mail//nickname if anominous	.	.
Name:	.	.
Street, Zip:	.	.
Tel.Number:	.	.
No Answer:	.	.
Answer Machine:	.	.
Do not want survey:	.	.
Surveyor/Tel. No.	.	.
1. No/Yes (Cash1)..	.	.
2. Bad/Good (Cash2)..	.	.
3. No/Yes (PAYG)..	.	.
4. No/Yes ..(Exist.)	.	.
5. 50MPH @ $2 ...or.. 10MPH @ $200 ..(No-ASE)	.	.
6. No/Yes ...(Real/ASE)	.	.
7. No/Yes ...(Drainage/ASE)	.	.
8. No/Yes ...(WaterGrass)	.	.
9. No/Yes ...(Dredge)	.	.
10. No/Yes ...(Manage)	.	.
11. No/Yes ...(Engineer)	.	.
12. No/Yes ...(C.Welfare)	.	.
13. No/Yes ...(Read)	.	.
14. No/Yes ...(Info.)	.	.
15. Against/For .(Plan)	.	.
16. Roads%	.	.
17. Cleanup%	.	.
18. Parks%	.	.
19. Existing/New .(C-house)	.	.
20. Existing/New .(Library)	.	.
21. No/Yes .(40-40)	.	.
22. No/Yes .(90-90)	.	.
23. $18K/Market/0 .(Preserv.)	.	.
24. 1st Priority	.	.
24. 2nd Priority	.	.
24. 3rd Priority	.	.
24. 4th Priority	.	.
24. 5th Priority	.	.
24. 6th Priority	.	.
24. 7th Priority	.	.
24. 8th Priority	.	.
24. 9th Priority	.	.
24. 10th Priority	.	.
24. 11th Priority	.	.
24. 12th Priority	.	.
24. 13th Priority	.	.
24. 14th Priority	.	.
24. 15th Priority	.	.
24. 16th Priority	.	.
24. 17th Priority	.	.
24. 18th Priority	.	.
24. 19th Priority	.	.
24. 20th Priority	.	.
25. Comments	.	.
26. Yes/No	.	.

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