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View of the White Mountains from Range Hill Road, Welcome to the site for Poland, Maine

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Poland Town Seal
Agenda Request Form
Town of Poland

SELECTMEN AGENDA REQUEST

To appear as a specific item of business on the Board of Selectmen’s agenda, a complete and documented request must be received at the Town Office no later than 7 days prior to the meeting scheduled or requested.  Business items on the agenda will be placed on a first come first serve basis.  In the event of a full agenda, you will be placed on the next available agenda.  Meetings are held on the 1st and 3rd Tuesday of every month.  Meetings begin at 7:00PM and are held in the Town Office Conference Room.

Requested Meeting Date:______________
Name:______________________________     
Address:____________________________                    
Telephone:___________________________   
Email:_______________________________   

Nature of business to be discussed (please provide complete details):
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_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
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Attach additional sheets and supporting information as necessary.

Date of Request: ____/____/____

Signature:  ____________________________________________


FOR OFFICE USE ONLY:

Date Received:  _________________

Confirmed By:  _______________________________________________


1231 Maine Street, Poland, ME 04274  PH:207.998.4601  FAX:207.998.2002