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r` n <br />COUNTY OF LEE <br />is REQUEST TO APPEAR BEFORE THE BOARD OF COMMISSIONERS <br />According to adopted rules of procedure, any individual who wishes to appear before the <br />Board of Commissioners must complete this request form and submit it no later than six <br />(6) working days prior to the date of the scheduled meeting, Your request should be <br />specific and provide sufficient information which will allow the Board to consider the <br />matter. Copies of any supporting material should be included with this request form. <br />Individuals requesting to appear on the agenda will be granted a maximum of ten (10) <br />minutes to make their presentation. <br />Name: <br />Address: <br />\y 1~~ t S J <br />Telephone Number: <br />E-mail Address: <br />Date of Meeting You Wish to Appear At: <br />® Please describe in detail the matter you would like to discuss: <br />- 1. i <br />Signature Date <br />Please deliver your request to: County of Lee, Clerk to the Board, 106 Hillcrest Drive, PO Box 1968, Sanford, NC 27331-1968. <br />® Mailed requests must he postmarked no later than six (6) day;; prior to the scheduled meeting. pR p 14 <br />MA 9 LIIU <br />