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2. If you wish to offer public comment, or if you would like your name read into the record with a stated position, please complete this form. Per the Village's typical audience participation policy, members of the public are welcome to speak for up to three minutes.

4. First Name*
5. Last Name*
7. Organization
9. Email Address
11. Address
13. City
14. State
15. Zip Code
17. Meeting Name
19. Is your comment related to an agenda item?

    1. Yes
    2. No
20. Agenda Item or Subject
22. Comment

24. Your comments will be placed on file and read into the record.

Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field