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* 1. Name - (Firstname /  Surname)

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* 2. Email Address

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* 3. Phone Number

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* 4. Which hapū of Rangitāne do you affiliate to?

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* 5. MATUA PĀ | What do you think of the proposed design for Matua Pā?

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* 6. HILLCREST | What is your understanding of the housing need in Dannevirke? i.e. the town needs kaumātua flats, smaller homes etc.

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* 7. 67 RENALL STREET, MASTERTON | Do you support TMRI further exploring the use of 67 Renall Street as a care facility? Do you have any further feedback or suggested options not yet explored?

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* 8. 8 MANGAHAO ROAD, PAHIATUA | Do you support TMRI further exploring the sale of 8 Mangahao Road to fund other TMRI investments? Do you have any further feedback or suggested options not yet explored?

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* 9. HILLCREST | What do you think of the 3 options presented for housing at the former Hillcrest school site?

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* 10. WINGATE | Which option do you prefer; the development of a horticulture venture or Papakāinga at Wingate? What ideas do you have for either option?

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* 11. MATAMAU | What ideas do you have for the use of 95 School Road, Matamau?

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* 12. CNR SH2, EKETĀHUNA | What ideas do you have for the use of CHR SH2 and Mangaoranga Road?

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* 13. ANYTHING ELSE? | What further feedback or ideas would you like to pass on?

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* 14. SKILLS & INTEREST | What skills or expertise could you contribute to any of the projects proposed in this document? What skills / interests would you be interested in developing through these projects?

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