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2. First Name*
3. Last Name*
5. Your mailing address
7. City
8. State
9. Zip
11. E-mail address*
12. Phone Number
14. Regarding property at this address (optional)
    Address of Urban Horticulture property
16. Comment*
18. I am a:
    -- Select One --Resident/owner of property zoned Urban HorticultureNeighbor of an Urban Horticulture zonePotential developer of Urban Horticulture propertyOther interested party
19. Preferred contact method

    1. E-mail
    2. USPS
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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