HomeMy WebLinkAboutSPEAKER FORMS 07-20-2010CITY 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.
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AGENDA ITEM NO. M('_L3 t ` - PUBLIC INPUT ❑
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IN FAVOR ❑ OR OPPOSITION' ❑ TO MATTER? TODAY'S DATE IZaL64b
NAME o R TkZ , /� �r 6 ORGANIZATION
(if applicable)
HOMEWORK ADDRESS (
E-MAIL ADDRESS
• CITY OF TuSTIN 1/
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 NOAr— ' PUBLIC INPUT ❑
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IN FAVOR OR OPPOSITION ❑ TO MATTER? TODAY'S DATE �+ d
NAME � W4 `� �� f `'� ORGANIZATION &l g z iruj �..f
(if applicable)
HOMEIWORK ADDRESS�
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 -3 PUBLIC INPUT E3
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IN FAVOR ❑ OR OPPOSITION [K TO MATTER? TODAY'S DATE 7 - Jo -- /O
NAME !�j t=j?A z U,ri/G &SLC- 9iVIA W ORGANIZATION
(if applicable)
HOMEWORK 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. ❑ » LZ PUBLIC INPUT ❑
................................................................................................................................................................................................................................................
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE'S ' t r-)
NAMEORGANIZATION
(if applicable)
HOMEWORK ADDRESS
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
Y
IN FAVOR ❑ OR OPPOSITION TO MATTER? TODAY'S DATE
NAME !�� i t ORGANIZATION
(if applicable)
HOMEIWORK ADDRESS )
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
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
12 -
NAME _ORGANIZAT
(if applicable) �(,
HOMEWORK ADDRESS YCITY/ZIP CODE —T is !%
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
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