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The town chairperson having nominated ________ ________ to fill the unexpired term of ________ ________ to the office of town plan commission member and the Town Board of the Town of ________, ________ County, Wisconsin, having confirmed the nomination, ________ ________ is hereby appointed to fill the unexpired term of ________ ________ to the office of town plan commission member, effective ________, 20__, or upon receipt by ________ ________ of this order, whichever date is earlier. This order shall be served by mail or by personal service upon the appointee.
Dated this ______ day of ________, 20__.
[Signatures of the town board]
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