Petition Template - Cover Page Page 2

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Petition Template - Signature Page(s)
Petition to Central Coast Council
Subject matter:
[Print a clear and concise statement identifying the subject matter.
This statement must appear on each page of the petition.]
..................................................................................................................
..................................................................................................................
Statement of
[Print a brief statement of the subject matter and the action requested.
subject matter
This statement must appear on each page of the petition.]
and action
requested:
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
Print Name
Print Address
Signature

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