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arr E <br />LA K E <br />ELMO <br />Please, PRINT. <br />Name: <br />Address: <br />City of Lake Elmo <br />REQUEST TO APPEAR <br />Before the <br />City Council or Planning Commission <br />)� Je-sk(E, <br />% 1.54h .�f <br />Agenda Item/Subject: / Q <br />Representing / C5 1 z> C-A) �y { Z d �/EA �S O A) l S `�' ` v4 <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 />