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HomeMy WebLinkAboutSPEAKER FORMS 07-06-2010~'~~~ ~'~x~ ITY OF TUSTIN ,~~~~ r ~G -~ 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. ^ ~3~ PUBLIC INPUT ^ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE ~ ' lV (` ~ ~ ~ ~ f~ " ~ ~~l~ NAME to w~~ ~ ~ ~~~'~ ORGANIZATION /~ (if applicable) ~,/ HOMEIWORK ADDRESS ~.~ ~ /? ~~~~ CITY/ZIP CODE G~~~''~ ~~~~ 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. ^ BLIC INPU~ ............................................................................................................................................................................................................................................ IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE ~ ~ , ~ NAME ~~'~Ji' ~~ ~f: ~ (~ ~ ~ S ~~ ORGANIZATION ~'~}Gl ~~~'~~i~ I ~~/~ ~ ~~ (if applicable) ~ ~ ~- ~-~ G ~~~, ltZ,'_ HOMEIWORK ADDRESS E-MAIL ADDRESS ~ Cir~r of rusriN 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~ Z PUBLIC INPUT ^ . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IN FAVOR ^ OR OPPOSITION ~ TO MATTER? TODAY'S DATE 7-G -/ U NAME ~ /4 6Z. Y C• l-yC~ (~1 ~' ~ l-F~~~l c:. N ORGANIZATION (if applicable) HOMENVORK ADDRESS , E-MAIL ADDRESS ~ (please indicate one)