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2. 

4. Request for Future Agenda Items

6. Contact Information

8. Name
9. Email Address
11. Address
13. Phone Number
15. Date of request
17. Nature of Item Requested to be addressed:

19. Individuals with appropriate items for the South Jefferson Landbank Board consideration are required to fill out this form. Items requested to be reviewed by the South Jefferson Landbank will be reviewed promptly and notice of items scheduled for meeting or study session will be provided to requestor. All items to be handled administratively without Board action notification will be addressed and responded to.

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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit Submit and Print

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