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air E <br />LAK E <br />EL�1D <br />Please, PRINT. <br />Name: <br />Address: <br />Agenda Item/Subject: _ <br />Representing <br />Company/Individual: <br />City of Lake Elmo <br />REQUEST TO APPEAR <br />Before the <br />City Council or Planning Commission <br />u may be recognized at the appropriate time. You are under no obligation to speak if you <br />Note: Please, complete this form yoe and address for the record. <br />change your mind during the meeting. Please, state your full namThank you. <br />