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2. Name*
3. Email Address*
   Please provide an email address we can reach you
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
13. Which Meeting would you like to speak at?*
    -- Select One --Board of SupervisorsPlanning CommissionBoth
14. I would like to speak at:*

    1. The Next Available Board of Supervisors Meeting
    2. When My Topic is a scheduled agenda item
15. I would like to speak at*

    1. The Next Available Planning Commission Meeting
    2. When My Topic is a scheduled agenda item
17. Topic*
    What topic would you like to speak about?
19. Submission #1
    Upload a Document you would like to submit for review
20. Submission #2
    Upload a Document you would like to submit for review
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23. 1. Receive an email copy of this form.
24. Email address

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25. Submit Submit and Print

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