HomeMy WebLinkAboutSPEAKER FORMS 01-02-08Cmr Q~ TusriN
REQUEST TO SPEAK
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Providing the following information is strictly voluntary. Only your name will appear in the
official Minutes of this Meeting. The other information may be used by staff to contact you.
Please complete and submit this form to the City Clerk/Recording Secretary.
AGENDA ITEM NO. I~ ~ PUBLIC INPUT ~.
IN FAVOR ~ OR OPPOSITION ^ TO MATTER? TODAY'S DATE ~Z~U
NAME ~~C~`~~~~"~~=E~-- -1~~~~=~ ORGANIZATION ~/~5 ~ ~~~`~ _ ~--~~
(if applicable)
`- -' ~~ `~`/ CITY/ZIP CODE ~ ~~f-- _ C~ l ~--~ ~~
HOMEWORK ADDRESS
- ~-~~>~ E-MAIL ADDRESS,
(please indicate one)
.~ '~ ' M
C~TI~ O~ TUSTI~ ~
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REQUEST TO SPEAK
Providing the following information is strictly voluntary. Only your name will appear in the
official Minutes of this Meeting. The other information may be used by staff to contact you.
Please complete and submit this form to the City Clerk/Recording Secretary.
AGENDA ITEM NO. ~I ~ PUBLIC INPUT ~
IN FAVOR ~ OR OPPOSITION ^ TO MATTER? TODAY'S DATE /lL-~y`%~
NAME ~~~~..% ~--i.~~ IC~~ ORGANIZATION C~~';~(-~ ~~,t;'~ ~~-L~ ~71~~~
(if applicable)
HOMENVORK ADDRESS
~ E-MAIL ADDRESS
(please indicate one)