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HomeMy WebLinkAboutSPEAKER FORMS 09-21-2010CITY OF TUSTIN REQUEST TO SPEAK Providing the following information is strictly voluntary. Only your name will appear in the ofhcial 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' ~~~ ~ k i / i ~t % 1 l / /) ` ` t r NAME ~1 ~~_ ~.. ~ ~, f ~ ~~~ U ~>>C `~ 1~(. ~' (~1t~' ORGANIZATION -`~1 tGt'J`~- fl~j~;F `-> f ~`~~~~ (if applicable) ~ ` I~ HOMEiGVORK ADDRESS ~ , (,CITY/ZIP CODE ~ ~-- ~ J - .,` ~.~ ~ ----- ~ - ~~ <. _ ~ (please-++~dicate one) ,~ ~~ / ~ , ~; ~--~~ CITY 4F 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 ~ " 2~ " ~/71 NAME b ~t ~~~~ ~ ~~1 ~ ~ "r ~ ORGANIZATION (if applicable) HOMEWORK ADDRESS ~~~/ ~~~' ~ ~~ ~~ CITYIZIP CODE ~L~~~ , ~~ ~~~ ~~ HOMEWORK PHONE NO. ~~~``~~~~ _ ~~~~ E-MAIL ADDRESS (please indicate one) CITY OF 1 USTIN 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 Q O OPPOSITION ~ TO MATTER? TODAY'S DATE ~ NAME ~ ~ ~ '~~ ORGANIZATI ON (if applicable) HOMEWORK ADDRESS HOMEWORK PHONE NO. _ ~ ~~ ~ ~ ~ E-MAIL ADDRESS, (please indicate one) CITYIZIP CODE Ci~r o~ T`us~~ 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 ~j TO MATTER? TODAY'S DATE ~ ~ Z~ ~ ~~ NAME ~~ ~ ~~ ~ 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. ~. ~ PUBLIC INPUT ^ IN FAVOR ^ OR OPPOSITION ~ TO MATTER? TODAY'S DATE ! r ~ ~ ~ / ,/ r // /`~ V ~ ~ / `.~~ J ..> / NAME ~ ' ~ ' ~ ~ ~ ~~ ~ ORGANIZATION (if applicable) HOMEJWORK ADDRESS ADDRESS 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 subrr~it thin form to the City Cler~clRecording Sec AGENDA ITEM NO. ~ `~ ( PUBLIC INPUT ^ IN FAV OR OPPOSITION ~ TO MATTER? TODAY'S DATE ' NAME ORGANIZATION ~~ ~ ~ E-MAIL ADDRES (please indicate one) ~lTY of TU~TtN 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 hi:l IN FAVOR ^ OR OPPOSITION TO MATTER? TODAY'S DATE 9 ~~ /b NAME ^~'~/"~ ~a~~~'"~'' ORGANIZATION /~ (if applicable) HOMEWORK ADDRESS ~ ~ /~ E-MAIL ADDRESS (please indicate one) CITY Qt= 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. ............................................................................................................................................................................................................................. ~l~ ............ AGENDA ITEM NO. ^ I (KJ PUBLIC INPUT . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .`. . .~. . . . . IN FAVOR ^ OR OPPOSITION L!d ~ v MATTER? TODAY'S DATE J ~~ i ~` ~ ~ NAME I, ORGANIZATION ~ ~~'- ` (( (if applicable) HOMEWORK ADDRESS ~ ~ E-MAIL ADDRESS (please indicate one) CITY Cad TUSTIN REQUEST TO SPEAK ~~, J ~a--~ ~~,.e~ 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 ~O MATTER? TODAY'S DATE ~ ~~ r'r ~` `~ NAME ~, z~-;-, ~ ~'~~~ ORGANIZATION (if applicable) HOMEWORK ADDRESS ~----- CITY/ZIP CODE ~~'~~ U<~~-~- HOMENVORK PHONE NO. E-MAIL ADDRESS (please indicate one)