HomeMy WebLinkAboutSPEAKER FORMS 05-04-2010~~~ ~~ TusT~~v
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 ~ 't1GL ORGANIZATION
(if applicable)
HOMEWORK ADDRESS ~~ ~~ ~
~/~~ /~/ / ! ~~ E-MAIL ADDRESS-„~~IG~/ / ~/~ / ~--~ ~~ ~`~
{please indicate one)
~/
~~ c~~ TUS~rt:~
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. ~ l ~~{o PUBLIC INPUT ^
IN FAVOR ^ OR OPPOSITION ~TO MATTER? TODAY'S DATE -~
NAME ~ " ~~rK3(UI.~Z- ORGANIZATION ~~
(if applicable)
E-MAIL ADDRESS
~t c~F TUS~r~'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. L~'~_ PUBLIC INPUT ^
Sr1 '~~/ ~
IN ~QVOR ^ OR OPPOSITION ^ TO~MATT~R? TODAY'S DATE
NAME ~ i ORGANIZATION
(if applicable)
O K ADDRESS ~
E-MAIL ADDRESS ~ !
ease indicate one)
-- ~` CITY Of TUSTII~
' Y 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 [~}'f0 MATTER? TODAY'S DATE ~ ~" ~~'7 ~ `,L ~ lG1
~~ .. _
NAME `- ~` ` ~-~ ~ ~r~ ORGANIZATION
(if applicable)
HOMEWORK ADDRESS ~~`~ ~~~~~'~ ' TY/ZIP CODE / ~`~ ~
HOMEWORK PHONE NO. ~~/~~` ~`~ ~ ~ E-MAIL ADDRESS ^ ~ ~? ~~~~ ~ ~ :.'~