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City of Clewiston Public Records Comment Card

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Full Name*

Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Topic You Wish to Address

Is this an agenda item?*

Yes

Check What May Apply*

Support

Oppose

Wish to Speak

I do not wish to speak, but I wish for my comment to be read into the Record

Read for the Record

Question or comment

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