Leech Lake Band of Ojibwe Broadband Project Consent

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* 1. Do you consent to the installation of fiber across the allotment land you have ownership interest in?

I consent

I do not consent

I would like someone to reach out to me with more information. (Please insert phone number below)

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* 2. Please provide your full name as it appears on the allotment ownership list.

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* 3. Please provide your Tribal ID number for verification purposes.

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* 4. Do you have any additional comments or concerns regarding the broadband project?