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2. First Name*
3. Last Name*
5. Address*
7. City*
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11. Contact Number
13. Please select the date of the public hearing.*
    Please select the date of the public hearing.
15. Please select the meeting where the public hearing will take place.*
    -- Select One --Common CouncilPlan Commission
17. Subject*
19. Please select if you will be speaking for or against the subject.

    1. I am speaking in favor of the subject.
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