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* 1. First name:

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* 2. Last name:

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* 3. Address:

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* 4. Suburb:

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* 5. Daytime telephone number:

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* 6. Email:

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* 7. After viewing the draft plans for the Ex-HMAS Adelaide Mast Monument, what are your comments or suggestions on the accessibility of the memorial (for pedestrians and other reserve users)?

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* 8. After viewing the draft plans for the Ex-HMAS Adelaide Mast Monument, what are your comments or suggestions on the impact to the natural environment?

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* 9. After viewing the draft plans for the Ex-HMAS Adelaide Mast Monument, what are your comments or suggestions on the impact to the amenity of the area?

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* 10. Should the installation of the Ex-HMAS Adelaide Monument move forward, Council must will record the name with the Geographical Names Board, which of the following naming options do you support?

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* 11. After viewing the draft plans for the Ex HMAS Adelaide Mast Monument, do you have any additional comments?

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