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2. Date
   Date

   Date
4. First Name
5. Last Name
7. Phone Number
8. Zip Code
10. Suggestion/Comment/Concern

    Please fill out the comment card with suggestions, comments, or concerns regarding planning and zoning in the unincorporated areas of the Parish.

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12. 1. Receive an email copy of this form.
13. Email address

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14. Submit

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