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2. Use this form to submit general questions or comments to staff.  To submit comments for public meetings, use the form at the following link:  www.gloucesterva.info/citizencomment

4. Name*
6. Street Address*
7. Mailing Address
9. City*
10. State*
11. Zip Code*
13. Email Address*
14. Voter District
    -- Select One --AbingdonGloucester PointPetsworthWareYork
16. Questions or Comments*
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18. 1. Receive an email copy of this form.
19. Email address

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20. Submit

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