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APPEAP.ANCE BEFORF' CITY 'COUNCIL OP, PLAI1VING :FOARD <br /> (Please Print) . <br /> • <br /> Name R0,61M <br /> J� SE/,DE Date .2 r/ <br /> Address 3/f7 STit/so� /.�L G,o Phone No. -W-7 ,9.2/;z <br /> Agenda .No. or Subject <br /> r- <br /> Corpany or Individual Representing, If Applicable <br /> PLEASE COMPLETE IF YOU SIISH TO A.DDRrSS <br /> THE COUNCIL OR PLP-.NFINr, 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 r",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 />