Request to appear before the Board of Selectmen
Unless the issue is an emergency, all requests need to be furnished to the Town Administrator no later than noon on the
Thursday prior to the Board Meeting.
Name:
Date:
Phone Number:
ACTION DESIRED: Please specify what action you desire the Board of Selectmen to take as a result of your presentation.
Please be as specific as possible.
PREVIOUS STEPS TAKEN: Please indicate any attempts that you have made to resolve this issue prior to asking to
appear before the Board of Selectmen. If current procedures require that you place your request elsewhere prior to
possible action by the Board of Selectmen, the Town Administrator shall inform you at the time you complete this form.
Email:
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