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40_ 4` <br /> PLANNING COMMISSION <br /> TESTIMONY SIGN-UP !Apia rail 2 <br /> PRINT CLEARLY <br /> Name: C ` 1=-1 6. M.a't"' Date: 3I -1/4 <br /> Representing:4)12p Dv► GL3aih ?II' " (''U Dut,d yIn¢A -21" <br /> Mailing Address: pD r` Pi 2 l Wi 11'�� <br /> Phone Number(s): aa ►5teil (Business) (Residence) <br /> Name of Applicant or Agenda Item #: <br /> When do you want to testify? (You may only select one): ❑At beginning of Hearing <br /> en Agenda Item is called <br /> Are you submitting written testimony at the hearing? Yes 0 No❑ <br /> t .�:q , . Submit this form and written testimony to staff member. <br /> .— e.;: uccitct�..timit testimony to new information - Speak directly into the microphone. <br />