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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. ^ PUBLIC INPUT
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TO MATTER? TODAY'S DATE ~/~
IN FAVOR ^ R OPPOSITION ^
NAME I ~ v' ~ ORGANIZATION
(if applicable) T .
HOMEIWORK ADDRESS ~ ~ ~ ~ ~ ~~~~ ~ I¢Y21P CODE / ~S ~r ~
HOMEWORK PHONE NO. ~ ~ ~ ' ~° 17 E-MAIL ADDRESS
(please indicate one)
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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. ^ PUBLIC INPUT
IN FAVOR ~ OR OPPOSITION ~ TO MATTER?
TODAY'S DA'
~~~~~
NAME ~~/~~`'~l~hh~~ ORGANIZATION
(if applicable)
HOMENVORK ADDRESS ~~ ~~ ~~ `~'~"' ~~ CITY2IP CODE ~ ~~'~ yZ7~ Z
HOMEWORK PHONE D = 7;i~%
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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. ~ -3 PUBLIC INPUT ^
IN FAVOR ^ OR OPPOSITION ~O MATTER? TODAY'S DATE 3'~'Q
NAME -~. '`~C~`~ ORGANIZATION
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HOMENVORK PHONE NO. ~ (~- ~ 3~ ~~ ~ ~ E-MAIL ADDRESS
(please indicate one)
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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. ^ ~ `~~ D\ PUBLIC INPUT ^
IN FAVOR ^ OR OPPOSITION ~ TO MATTER? TODAY'S DATE 3\`~~ 0 ~
NAME ~ ~ ` Sr0 ~ ORGANIZATION ~\~ C
NO. ~1~- ~ ~ S~7 "Z E-MAIL ADDRESS
(please indicate one)
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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. ^ PUBLIC INPUT C~,
IN FAVOR ^ OR OPPOSITION ~ TO MATTER? TODAY'S DATE ~T~ I y
AME '~ ^~ ~~ ~ P~ ~ `~ ORGANIZATION (,- ~~ ~'~.v~ ~' ~ ~~
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~~ E-MAIL ADDRESS
(please indicate one)
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REQUEST TO SPEAK
Providing the following information is strictly voluntary. Only your name will appear in the
ofi'icial 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. ^ PUBLIC INPUT
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IN FAVOR ~ OR OPPOSITION ~ TO MATTER? TODAY'S DATE 3' _ ~ u
(,~ y~ ~ ~ ~ ORGANIZATION 1~' ~ ~ ` " ~ "l ~ I ~~~ ~~
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HOMEIWORK PHONE NO.~'~
indicate one) C ~`~, - yl~C
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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.
~~^~µAGENDA ITEM NO. ^ _..~_ _ ~~ PUBLIC INPUYdJ
IN FAVOR ~ OR OPPOSITION ~ TO MATTER?
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NAME
TODAY'S DATE / ~ ~ ` y
ORGANIZATION
fif aenlicablel
HOMEWORK ADDRESS ~,
MAIL ADDRESS) ' ) ~ ~.~ D
indicate one)