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2. Name*
4. Email*
5. Phone
7. Category*

   1. Building Codes
   2. Zoning

   1. Development/Design Review
   2. Other
9. Project Location
   Address and/or parcel information (map # and lot #) https://www.axisgis.com/brunswickme/
11. Description of Project
    To expedite your request for technical support, please provide a brief description of your project or question.
13. Preferred Date and Time of Video Conference
    Preferred Date and Time of Video Conference

    Preferred Date and Time of Video Conference
15. Alternate Date and Time
    Alternate Date and Time

    Alternate Date and Time
17. Alternate Date and Time
    Alternate Date and Time

    Alternate Date and Time
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19. 1. Receive an email copy of this form.
20. Email address

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21. Submit

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