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an w <br />LAK E City of Lake Elmo <br />ELM 0 REQUEST TO APPEAR <br />Before the <br />City Council or Planning Commission <br />Please, PRINT. <br />Name: <br />Address: (ZZll�arQ �PSS �a ��U`C �b <br />Agenda Item/Subject: l o �U„R Y-r Snc.wS� udcc7v- Ens <br />Representing <br />Company/Individual: <br />Note: Please, complete this form you may be recognized at the appropriate time. You are under no obligation to speak if you <br />change your mind during the meeting. Please, state your full name and address for the record. Thank you. <br />