HomeMy WebLinkAboutSPEAKER FORMS 10-05-2010G~r~r a~ Tus~rrN
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. ^ PUBLIC INPUT
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IN FAVOR ~ OR OPPOSITION ^ TO MATTER? TODAY'S DATE 'l ~ J 1
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NAME ~ ~.1 ~ ~ ~~~~ ~-l i ~.~"~! ORGANIZATION '~ ~~,,~° ("~'~~aJ ~~,
(if applicable)
HOMEWORK ADDRESS ~ ~ ~~ ~ ~,~
~-'~'~ '~' ~ E-MAIL
~
~rt~r of T~s~~nr
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.
..........~.~..' n ..:.........~'
AGENDA ITEM NO. ^ PUBLIC INPUT ^
.................................................................................................................................................
IN FAVOR ~] OR OPPOSITION [~ TO MATTER? TODAY'S DATE~~.~~. -~ pZO ~l}
NAME ~~ ~ ' ~
ORGANIZATION~~~~~~~~'C~
(
CITY t3F 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 Ciiy Clerk/Recording Secretary.
AGENDA ITEM NO. ^ J,~~"~y PUBLIC INPUT ^
IN FAVOR ^ OR OPPOSITION ~ TO MATTER? TODAY'S DATE ~~=" ~~ 2~z
J /' ~z
NAME ~~,~ J - C--~/-~ ORGANIZATION
_ (if applicable)
HOMEWORK ADDRESS ~
~~~ E-MAIL ADDRESS
(please indicate one)
Cr~r of Tus~rrN
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
...........................................................................................................................................................................................,.f.....n........................................
IN FAVOR ~ OR OPPOSITION ^ TO MATTER? TODAY'S DATE / y r~ ^ /
NAME ~ L-1 ~i7 ORGANIZATION \" I ~/~~~-~"
ADDRESS % ,,~ ~, ~~~
(please indicate one)