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APPEAP.ANCE• REFOItI2``CITY .CCUNCIL,-OP, PLA iMIim. rOARD <br /> _(Please Print) <br /> Name P_rs ow�� ter. Date <br /> .:Address 3 G `rm�.����,�., %�[ �: Phone No.. 01 r <br /> Agenda No. or Subject <br /> Corpany or Individual Representing, If Applicable <br /> PLEASE COMPLETE IF YOU 6IISH TO ADDRPSS <br /> i�CIL OR PLlT1ilIrlr BOARD, THANK YOU. <br /> THE COU <br /> 1 <br /> If you wish to address the City Council or Planning Board., please <br /> follow the suggestions listed below- <br /> i <br /> Please complete the above portion of this card so that <br /> the t".ayor/Chairman may recognize you promptly at the. <br /> appropriate time on the agenda.. <br /> Please state your full name and address when you begin <br /> r your remarks in order that the official minutes will <br /> .� record your appearance. Thant; you for your cooperation. <br /> :1 - --- - - <br />