HomeMy WebLinkAboutSPEAKER FORMS 04-22-09ply`
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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 DATE ~1" ~~~/ ~ ~ ~
NAME ~~ N~ ~/ ~ y ~" ORGANIZATION LIt--/ ~~/rl I/ ~ c~L-
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~ E-MAIL ADDRESS /
(please indicate one)