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* 1. Name 

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* 2. Date of Meeting

Date

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* 3. Municipality

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* 4. Item/Subject

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* 5. Registering

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* 6. Are you wishing to provide public comment on an item not on the agenda?

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* 7. If you register to speak on either an agenda item or for public comment or have indicated you are available for information, you will be called when it is your turn (or information is needed for those registering availability for information only).  Please indicate the best phone number to be called at when it is time to speak.

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* 8. On this occasion, are you officially representing an organization or a person other than yourself?

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