HomeMy WebLinkAboutSPEAKER FORMS 09-15-09~~~ ~F ~~~~~'~
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 ~- ~S a ~ t
I~iy-~ i2.~ c A ~t,~ Lr~~ ~~ ~J
NAME; ORGANIZATION
''' (if applicable) ~jO~~ ~ ~
HOMEWORK ADDRESS ~_~_~
~~~ ~E-MAIL ADDRESS ~~ -^`
(please indicate one)
CITI~ OF TUSTtr~
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 ~~ /~~'
NAME ~ A f2,~f L ~/I A I L S ORGANIZATION ~o u 12 . 2 0 w S
(if applicable)
HOMEWORK ADDRESS ~~
/ ~/ E-MAIL ADDRESS~o ~
(please indicate one)
~~--~~~ ' CITY OF TUS 4 IN
,, 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 FAVOR ^ OR OPPOSITION ^ TO MATTER? ~, TODAY'S DATE '[,~'~/~
~~ N L ~ ~~ ~~// ~ `/ ~~' ORGANIZATION
NAME
~/ ~/ E-MAIL ADDRESS ~~~" ~ ~''~ ~ ~ ~~'
(please indicate one)