HomeMy WebLinkAboutSPEAKER FORMS 02-02-2010=,~ ~t~ c~F Tuss~~
~~ ~ 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 ~ ~ V ~ o
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NAME ~ ~~ ~~ ~`~~~ ORGANIZATION
(if applicable) X"f-(.L~-~l ~ O~ ~~ • ~
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~ ~"~ ~ E-MAIL ADDRESS
(please indicate one)
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CITY OF TU'~~'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 INPUT ^
.......................................................................................................................................................................................................................
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE ~ ~ 1 C)
NAME G ORGANIZATION
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~(~ E-MAIL ADDRESS
(please indicate one)
CITY OF TUSTIN
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. L~1'~ PUBLIC INPUT ^
...................................................................................................................................................................................................ii.............................................
IN FAVOR [~ OR OPPOSITION ^ TO MATTER? TODAY'S DATE ~"1 ~-~ ~ r u
NAME Ja~`'~ ~~~ ~ ~ ORGANIZATION ~-Si~-~-
(if applicable)
HOMENVORK ADDRESS
~ ~ E-MAIL ADDRESS ~~
indicate one)
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CITY OF TUS~TIN
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 /~IA1~11~~5 ~D~/~~ ORGANIZATION
(if applicable)
HOMEnivORKADDRESS
°~ E-MAIL ADDRESS
please indicate one)
Lr
CITY QF 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 ^
................................................................................................................................................................................................................................................
IN FAVOR~OR OPPOSITION ^ TO MATTER? TODAY'S DATE-/~~~
NAME 1`7 1 ~ m P~vN ORGANIZATION
(if applicable)
HOMEWORK ADDRESS ?~~-(
E-MAIL ADDRESS
please indicate one)
V ~J
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 ^
IN FAVOR OR OPPOSITION ^ TO MATTER? TODAY'S DATE ~- ~-~ I ~
NAME t,~''~-' ~~ ()t (,. Y) ~,-~ ORGANIZATION
(if applicable)
HOMENVORK ADDRESS ~ ~~` ~~`~"`~ ~~ ~ CITY/ZIP CODE 1 U S~ ~~~ t~ ~~~ ~ y
HOMEWORK PHONE ~ ~~~ E-MAIL ADDRESS ~ ~ ~ `'~~ ~!~? `'~~ ~~~' `~~~~ ` ~ '~
(please indicate one)