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2. First Name*
3. Last Name*
5. Address1*
7. City
8. State
9. Zip
11. Email Address

    By providing your email address, Village Trustees and Department Heads have the ability to contact you regarding your comment.

17. Which Committee/Commission/Board do you have comments for?*
    -- Select One --Administrative Appeals Review BoardBoard of ReviewBuilding Construction Oversight CommitteeEconomic Development CommissionEthics BoardGeneral Government & FinanceHistoric Preservation CommissionLibrary BoardPark & Recreation CommissionPlan CommissionPolice & Fire CommissionPublic Safety CommitteePublic Works & Highway CommitteeSenior Advisory CommitteeTourism CommissionUtility Advisory CommitteeVillage Board
18. What is the date of the meeting?*
    What is the date of the meeting?
20. For which item do you wish to provide comments?*

    Example: New business E. For consideration with possible action on.......

22. What is your opinion of the item?*

    1. I am IN FAVOR of the item.
    2. I am NEITHER in favor or oppose the item.
    3. I OPPOSE the item.
23. Would you like to speak at the meeting?

    1. Yes, I would like to speak at the meeting.
    2. No, I do not wish to speak at the meeting. I only want to submit my comments through this form.
25. Comments
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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