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APPEARANCE BEFORr CITY COUNCIL OP.' PLA111TING £OARD <br /> (Please Print) <br /> AName Date <br /> Address�19 / Phone No. <br /> Agenda No. or Subject <br /> Corpany or Individual Representing, If Applicable <br /> PLEASE COMPLETE IF YOU 61ISH TO ADDRPSS <br /> THE COUPTCIL OR PLIMNIM BOARD, TIIA17K 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 /> ithe 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 /> your remarks in order that the official minutes will <br /> record your appearance. Thank you for your cooperation. <br />