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2. First Name*
3. Last Name*
5. Municipality of Residence*
7. Topic of Discussion*
   Provide a brief description of the topic you'll address.
9. Your Comments
   Comments must be three minutes (or shorter) in length when read, and must adhere to the Common Council Rules of Order.
11. Contact Information
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13. Thank you for sharing your thoughts with us. Until we can all be together again, we wish you good health!
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