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Verification of Public Notice Sign Posting

  1. I hereby verify that the public hearing notice sign for

  2. located at

  3. was posted by

  4. on

  5. as verified by this photo

  6. By typing my name in the box above, I hereby certify that the information provided on this form and the submitted photograph is true and correct to the best of my knowledge. I understand that failure to post the sign by the required deadline will result in my public hearing being rescheduled to a later date.

  7. Leave This Blank:

  8. This field is not part of the form submission.