City Clerk Department
Nikolin Vangjeli, City Clerk
Stephen A.J. Pottle, Deputy City Clerk
Room 206, City Hall 455 Main Street Worcester, Massachusetts 01608-1889
Telephone (508) 799-1121 Fax (508) 799-1194
E-Mail: clerk@worcesterma.gov
Please print out this form, provide your full contact information, including your name, residential
address and phone number, sign the form and return to:
Worcester City Clerk
City Hall Room 206
455 Main Street
Worcester, MA 01608
The undersigned hereby petition the City Council as follows, request
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