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2. This form is for citizens to submit comments on agenda items or public forum issues in lieu of attending the meeting in person.
4. First Name*
5. Last Name*
7. Name of organization you represent (if applicable)
9. Address (If your address is protected, you may leave this blank)
11. City
12. State
13. Zip Code
15. Phone Number
17. Email Address
19. District (if known)
    -- Select One --District 1District 2District 3District 4District 5
21. Is this related to an agenda item? If so, which one.
23. Please give your comments on agenda item(s):
25. If not for a specific agenda item, please give your public forum comments:
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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