HomeMy WebLinkAboutSPEAKER FORMS 11-16-2010x
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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 ~~ ~~ t'D (ZCJ ~ U
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NAME ORGANIZATION
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(if applicable) ~~ V ~ , r ~ -~~
HOME/wORK ADDRESS _ ?
E-MAIL ADDRESS
(please indicate one) '~ ~.
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REQUEST TO SPEAK
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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 RGANIZATION
~ if applicable)
HOMENVORK ADDRESS
~~,~~~ \/ E-MAIL ADDRESS,
(please indicate one)
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~I1~Y OF TU~T1N
,~
~~ ' REQUEST TO SPEAK
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r~, ~'
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 I~
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE ~ I o
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NAME ~ L ORGANIZATION ~~,~'~ CA 1 ~ ~ ~ t/~
(if applicable)
HOMEWORK ADDRESS ~ ~
ADDRESS
(please indicate one)
~° ` `~ Cl~"l~ OF TU~T1N
~ REQUEST TO SPEAK
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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 ~~'~ ~ ~ ~ ~~ ~~/~/~
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NAME
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E-MAIL ADDRESS
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(please indicate one) ~ ~ ~
f . <~ ~ ~~~Y o~ Tu~~r~r~
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.~ ? REQUEST TO SPEAK
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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.
_ ......._ ................_ _............... _............_._........_.._...._ ..._...................._.....................__ _._ .........,r....._..........
AGENDA ITEM NO. ^ PUBLIC INPUT ®~
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE ~~ ~~'t ~~ ~ ~~
NAME ;,~;ti.l ~~ YY~/ ~~ t~~ 1~~ ~~~ ORGANIZATION
(if applicable)
HOMENVORK ADDRESS
CITY/ZIP CODE
HOMENVORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
CITY OF TCISTIN
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 ~ ~ ~ ~~%~ ~~~~~~~ ORGANIZATION
(if applicable)
HOMEWORK ADDRESS ~~ ~`` "%~ ~~~~CITY/ZIP CODE / ~J~~-~~ A~
HOMEWORK PHONE NO. ~ ~ ~-~ ~' ~~/ ~~' ~~~~."' ADDRESS ~
(please indicate one)
CITY QF TU~TIN,
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..N.O....^ .................................................PUBLIC INPUT~._ _.
.......................
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? ~ TODAY'S DATE ~ ! ~ v
NAME ~~ r L ~~ ~ ~~~ ~ ORGANIZATION
(if applicable)
HOME/WORKADDRESS ~
E-MAILADDRE < <''
SS ~
(please indicate one)
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~° ~~~~ ~"~~ ~fTY Gl~' 1~USTLN
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REQUEST TO SPEAK
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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 ~'~ ~t~ ~ ~ L t ~
NAME ~~ Y V ` ~~ ~~ < < ORGANIZATION
(if applicable)
OM~E/i~VORK ADDRESS ~ `~
ADDRESS
ease indicate one)
} ~~~Y 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 ( ~ ~ ~ -- ~ (~~
NAME l 1 ORGANIZATION /cjt(~I~
(if applicable)
~~ E-MAIL ADDRESS,
please indicate one)
` ~`~' ~~ R~ ~~"'~"`Y C?t~ TUSTI'N~
,~
REQUEST TO SPEAK
y:-
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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 ®l
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IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE 1 ~ ~ ~ b ~j(7
NAME ~ ~~ ~`~~ ~ V~ ORGANIZATION
(if applicable)
HOM ORK ADDRESS (
~~ E-MAIL ADDRESS ~'
(ple 'ate one) _ °
;~,~ ~ ~~ _ / 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 I
s
NAME ~ ~ ~ ORGANIZATION
(if applicable)
HOMEWORK ADDRESS / ~ ~ }'~ CITY/ZIP CODE / Z~~j"
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
~~r~r aF ~'U~T~rv
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 ~ll_( rr1 ~V
NAME ~~~t~~-~ ~ 1U'~P~~c,1 ORGANIZATION
E-MAIL ADDRESS
(please indicate one)
~f 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
_._.........__.........._ ............._.............._..._.........__ ..................._..............._................ _._ .......................................J.......__..........................._..._...
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE f / ~~ ~~
NAME t/~'" ~~ ~~ V ~ ""'~ ORGANIZATION
(if applicable)
HOMEWORK ADDRESS /! ~~ (~~ E ~~~
HOMEWORK PHONE NO. /~~' /~ ~ ~ E-MAIL ADDRESS
(please indicate one)
~~ ~ .,~~~ CI~"1~ QF TUS1"lN
,~
~-" ~ ~~~ ~ ~' ~ REQUEST TO SPEAK
Y
,FA }~ T~,,...
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 ~I
IN FAVOR ~ OR OPPOSITION ^ TO MATTER?
NAME _~s,~`tr"~ ~ .~ ~(~~ ~s~~iC~.~`'°``~
HOMEWORK ADDRESS ~~~~
HOM O~ HONE
applicable)
CITY/ZIP CODE ~~} '~
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 ' ` ( ~~
NAME ORGANIZATION
(if applicable)
HOMENVORK ADDRESS CITY/ZIP CODE
HOMEWORK PNONE `~~ E-MAIL ADDRESS
(please indicate one)
'~•: ~at:dwr.4 ~'~ ~~
~,',
REQUEST TO SPEAK
f . ~~,.
.„
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 ~~ -~~ v ~~%/~J
NAME I `--e~/ ~~~~~1 ~~r/~ ORGANIZATION ~/~`~
~--~ (if applicable)
--~
ADDRESS~~~ ~~-- ~~~ ~~~ CITY/ZIP CODE ~~ ~ ~
'
HOMEWORK PHONE NO. ~( ~ ~ ~~ ~`~ E-MAIL ADDRESS ~ `"~'~~~~~~'~~~~ ~'~~~
(please indicate one)
CITY' C)F Tu~Tll~l
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 ~ ~ ~-'J O C~E~~~~~`'~ ORGANIZATION ~~~
(if applicable)
HOME/WORKADDRESS
~ ~ E-MAIL ADDRESS _- ~
CITI~ O~ TU~TIN
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 ~,~ ~ ~ Co IlU
NAME (~~/ ~ ~/ (/(,~Q~t~----~ ORGANIZATION
(if applicable)
!/ ~,
HOMENVORK 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
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IN FAVOR ^ OR OPPOSITION ~TO MATTER? TODAY'S DATE ~~ O~ -~ /~
.,-' . ~
NAME `~~t- f=~ f ~/~
`1 ~ ORGANIZATION
(if applicable)
HOMEWORK ADDRESS _,~~'~~~~ ~~ , `~ `
, ~ `~~°(~~ E-MAIL ADDRESS /`~
(please`°indicate one)
i ks~ `
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 ^ TO MATTER? TODAY'S DATE /~ d l ~~ ~" I ~
_,,/ ~ _,
NAM E /-i~~"r'G' ~.:~? ~~'~~~"r ~? ~'
ORGANIZATION
~, (if applicable)
/ ,---_
HOMEWORK ADDRESS~~~ ~ ~ CITY/ZIP CODE ~ S% d/ ~~-~ ~'<-~
HOMEWORK PHONE / ~~~ ~~~ ~--,. ~
~~~-~~~~~,~~~.