Petition Template - Cover Page Page 3

Petition Template - Final Page

Petition to Central Coast Council

Person lodging

[Print full name, address and signature of the person lodging the petition.

petition:

This must appear at the end of the petition.]

The person lodging this petition is:

(Please print)

Full name: ...............................................................................................

Address: ..................................................................................................

..................................................................................................................

Signature: ...............................................................................................

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Parent category: Legal