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CAPE CANAVERAL
PLANNING & ZONING BOARD MEETING
REQUEST TO SPEAK
Please give your request to the Board Secretary
prior to the beginning of the me 'tin�II
There is a time limit of THREE (3) minutes to speak. Date of Meeting: l
Name of Speaker:
(please print) r
Address of Speaker: �����
(please print)
City & State rr Zip Code
Contact information, if following up is necessary (email or phone number):
I wish to speak during: PUBLIC PARTICIPATION AGENDA ITEM OPEN DISCUSSION
(circle one)
Subject/Item No.: L—J
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