Step 1 of 2

Ask to speak at planning committee

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First name

Last name

Address Line 1

Address Line 2

Town/City

Postcode

Phone number

Address Line 1 of the item

Address Line 2 of the item

Town/City of the item

Postcode of the item

Application number of the item

Do you wish to speak for or against the application:

For

Against

Are you speaking as:

Myself - as a resident of the Ward

Agent

Applicant

Parish Council Repesentative

Do you want to show a PowerPoint presentation?

How do you wish to attend the meeting:

Signature:

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