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J <br /> APPEARANCE AEVORF CITY. COUNCIL OR' PLANNING FOARD <br /> (Please Print) . <br /> • Name 0W- ' /U Date /27 7- <br /> Ato <br /> Address? Z(2- C90F1 DP V& /E Phone No. ! ' Z� <br /> Agenda No. or Subject uAtog--nmi /Ob-nc <br /> Cor.:pany or Individual Representing, If Applicable <br /> PLEASE COMPLETE IF YOU IIISH TO ADDRESS <br /> THE COUNCIL OR PLTIRVINr BOARD, THANK YOU. <br /> If you wish to address the City Council or Planning Board, please <br /> follow the suggestions listed below: <br /> (� Please complete the above portion of this card so that <br /> the Mlayor/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 /> your remarks in order that the official minutes will <br /> record your appearance. Thank you for your cooperation. <br />