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This is the applicant's name and reason for the public hearing. Both can be found on the public hearing notice.
The date can be found on the public hearing notice.
Your comments will be read into the record. If you need to submit additional information, you can email documents to firstname.lastname@example.org.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, and 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature.
This field is not part of the form submission.
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