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

4. Project Number(s)*

6. located at

8. Project Address*

10. was posted by

12. Name of Person Posting Sign*

14. on

16. Date of Sign Posting*
    Date of Sign Posting

18. as verified by this photo

20. Upload Photo of Posted Sign*
22. Certification*

    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.

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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field