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2. This form is for requesting information about greenbelt or a greenbelt application.
4. First Name*
5. Last Name*
7. Email you would like all communication to be sent to.*
9. Please check one*

   1. Please send me a green belt applicaiton for the property listed below
   2. Please send me general information about green belt
11. Please list all parcel numbers, address or account numbers you are requesting an application for*
13. Submission of this form does not begin the two year waiting period. For more information about greenbelt or frequently asked questions please return to the greenbelt page.
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

* indicates a required field