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2. Limited to agenda items which are not scheduled to have a public hearing:

   This request form should be submitted to the County Clerk's Office no later than 5 pm on the day of the commission meeting.

   All county commission meetings are public meetings and held on the second and fourth Tuesdays of each month beginning at 6 pm at the Historic Courthouse, second floor, 30 N Broad Street, in Winder. For more information, check the county's website or call the County Clerk at 770-307-3005.

4. First Name
5. Last Name
7. Company or Organization Being Represented
9. Street Address
11. Street Address Line 2
13. City
14. State / Province
16. Postal / Zip Code
18. Phone Number (Home)
19. Phone Number (Work)
21. Date of Commission Meeting You Wish to Appear
    Date of Commission Meeting You Wish to Appear

    Date of Commission Meeting You Wish to Appear
23. Topic to Discuss with the Board of Commissioners (Please be specific)
25. Include attachments as necessary
Leave This Blank:


27. Submit

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