HomeMy WebLinkAboutSPEAKER FORMS 08-04-09Providing 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. I7
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER?
PUBLIC INPUT ❑
TODAY'S DATE
NAME i`�\ I ` " ORGANIZATION
(if applicable)
HOMEWORK ADDRESS CITY/ZIP CODE
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
CITY OF TuSTIN
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. ❑ 1 PUBLIC INPUT ❑
IN FAVOR ❑ OR OPPOSITION 50 TO MATTER? TODAY'S DATE �7G1G� /',
r
NAME /94611 112 //i�l�/� ORGANIZATION
(if applicable) v
HOMEWORK ADDRESS
E-MAIL ADDRESS
(please indicate one)
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.
........................................................_............................................ ._....................... ............._.......................
T
AGENDA ITEM NO. ❑ PUBLIC I N P U �t
ir /yv
IN FAVOR OR OPPOSITION TO MATTER? TODAY'S DATE
❑❑
- . �� r ORGANIZATION
NAME
�. (if applicable)
HOMEWORK ADDRESS CITY/ZIP CODE
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
CITY OF TUSTIN
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 ki
........... ......................... _.............. _........................ _............ _........ ... ........................................ _...... _.._.......... ................. ................................ ..............
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME / ` i ` ORGANIZATION
(if applicable)
HOMEWORK ADDRESS '' ZIP CODE C
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
CITY OF TUSTIN
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. ❑
IN FAVOR ❑ OR OPPOSITION [�TO MATTER?
PUBLIC INPUT
TODAY'S DATE
o
NAME�U!���� ORGANIZATION
(if applicable)
HOMEWORK ADDRESS
% _E-MAIL ADDRESS
(please indicate one)
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. CQ P4C
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME 'P SORGANIZATION
�
MAIL AD
e indicate one
(pleas) )
CITY OF
f
REQUEST• 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
r
NAMEI'� ` U,� ORGANIZATION_
(if applicable)
HOMEWORK ADDRESS � � ���CITY/ZIP
CODE �
HOMEWORK PHONE MAIL ADDRESS
(please indicate one)
CITY OF TMST(
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 IN
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
(if applicable) (T
HOMEWORK ADDRESS �- CITYIZIP CODE
HOMEWORK PHONE NO. E-MAIL
(please indicate one)
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
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME ORGANIZATION
(if applicable) ))
HOMEWORK ADDRESS / �' `�.� CITY/ZIP CODE 7�� G
HOMEWORK PHONE NO. � � " E-MAIL ADDRESS
(please indicate one)
CITY OF
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.
........... ...............................................
.... ................................................ ..........................
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AGENDA ITEM NO.❑PUBLIC INPU
IN FAVOR ❑ OR OPPOSIION ❑ TO MATTER? TODAY'S DATE Q/ T / V I
NAME 2ii Av ORGANIZATION
(if applicable) 7 �7 (�
HOME/WORK ADDRESS
E-MAIL ADDRESS,/
(please indicate one)
CITY OF TUSTIN
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 IN
......... _...... _......................... ....
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME ? �' N .. \AJA ORGANIZATION
(if applicable)
HOMEWORK ADDRESS (.
MAIL ADDRESS
(please indicate one)
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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
IN FAVOR ❑ OR OPPOSITION El TO MATTER? TODAY'S DATE
NAME ���',� I L'L' i/ L�rl C� L �L -` ORGANIZATION
(if applicable)
HfMFORK ADDRESS
` E-MAIL ADDRESS
ease indicate one)
CITY OF TuSTIN
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.M-1
IN FAVOR JZOR OPPOSITION ❑ TO MATTER?
PUBLIC INPUT ❑ �. _._._.. � Gf
L
TODAY'S DATE
i
NAME r !!/r1 /,�°.�t�/i2 ORGANIZATION
(if applicable)
HOMEWORK ADDRESS /�
E-MAIL ADDRESS
(please indicate one)
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
AGENDA ITEM
IN FAVOR ❑ OR OPPOSITION
NAME
HOMEWORK ADDRESS
J TO MATTER?
ording Secretary.
INP
TODAY'S DATE /f 0o
ORGANIZATION / U
(if licable)
ADDRESS �`� �`
VW
CITY OF TuSTIN
REQUEST TO •
\�t
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
.......... . ......................... I ..................................... _......... --- ------- -
IN FAVOR FD OR OPPOSITION ❑ TO MATTER. TODAY' S DATE D
NAME O GANIZATION
(if applicable)
HOMEWORK ADDRESS } >� CITY/ZIP CODE
HOMEWORK PHONE NO.
(please indicate one)
E-MAIL ADDRESS
CITY OF Tu
STIN
n 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 INPUTI
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME S 7'C G X r I`� L�C: Ni✓� �� S ORGANIZATION
(if applicable)
HOMEWORK ADDRESS
E-MAIL ADDRESS
(please indicate one)
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
NAME P03- f`'T- :51 ORGANIZATION
(if applicable)
HOMEfWORK ADDRESS