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25 <br />Name: <br />Address: <br />Day Phone: <br />Evening Phone: <br />Email: <br />How long have you lived in your home? <br />Please circle: <br />I am willing to speak at the meeting <br />regarding any concerns about the quarry. <br />YES NO <br />I would like to be contacted about future <br />meetings. <br />YES NO <br />I would like someone to call me about <br />volunteering with the grassroots effort <br />supporting our community's welfaze? <br />YES NO <br />Please check box if appropriate: <br />I have not received and now need up-to-date and clearly stated information on <br />policy issues that effect me as a resident living neaz the American Stone Quarry. <br />