Public Comment Card

INSTRUCTIONS:

Residents who wish to comment/ask a question, may complete and submit the following Public Comment Card, 24 hours prior to the scheduled meeting. A separate comment card must be completed for each comment or item to be addressed. PLEASE NOTE: Comments will be read into the record and should be no more than three (3) minutes when read. Comments Cards will become part of the public record.

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Date

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First Name *

Last Name *

Address *

E-mail

Option to Speak

I wish to speak at the open forum by speaking on the following topic, specifically:

I wish to comment/address the following agenda item, specifically:

I wish to speak during the Public Hearing section of the meeting on the following item, specifically:

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Public Comment Card

INSTRUCTIONS:

Contact Information