HomeMy WebLinkAboutSPEAKER FORMS 03-15-11CITY 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 Cler{c/Recording Secretary.
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AGENDA ITEM NO. ^ PUBLIC INPUT Q~
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IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE S
NAME ~~A~~~ ~ ORGANIZATION
-- (if applicable)
E-MAIL ADDRESS
~
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 i I
NAME V ~ '~ ~ ~ " _b ~ ~~~ ~') ~~~ ~ ORGANIZATION ~ ~ ~~
(if applicable)
~ -~- ~,'
HOME/WORKADDRESS_'~';) ~~~ ~ `~;''~~~~' ~
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 '~ ~ 1-~
NAME f ORGANIZATION ~_ C L{ ~ f ~~ ~~s )
/~`.`~.:~ _
CITCY/ZIP CODE
HOMEIWORK
1'Y OF TUSTIN
VEST TO SPEAK
U ~~~,~-
Providing
official Mir _ ._._.,~..,y.
strictly voluntary. Only your name will appear in the
~~r tether 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 FAVO)2~ OR OPPOSITION ^ TO MATTER? TODAY'S DATE
NAME j ORGANIZATIONI ~
(if applicable)
HOMEIWORK ADDRESS ~ -
HOMEIWORK PHONE NO.
(please indicate one)
CITY/ZIP CODE
E-MAIL ADDRESS
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 '"~ / ~ ~~ ~,
,~`~
C~YIZIPCODE S~~~f~ ~'~`~ CIS ~~~~~
HOME ~~ORK~,~~PHONE ~ ~E-MAIL ADDRESS - ~~'~~~~
(please'hTdt~ate 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?
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NAME ~~. ~ l Lti~ ~ C~~~C v
HOMEIWORK ADDRESS
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 l .ll ~~l~/S~ ORGANIZATION
(if applicable)
HOMEIWORK 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 ~~ j
NAME yG ~ N ~ U ~~.~ ~ ORGANIZATION ~~ t ~ ~5C-U ~ /~'`2 SS, o,~V
(if applicable)
HOMEIWORK 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. C3" PUBLIC INPUT ~-
IN FAVOR ^ OR OPPOSITION ((~TO MATTER? TODAY'S DATE 3 - /~ ~ t'~
NAME ~ ~-,~ ~~.`-- J ~ ORGANIZATION s'~l ~+--~ f-~.'L- ~ ~=_ ~ i~ R-R~
(if applicable)
HOMEWORK ADDRESS -
~ E-MAIL ADDRESS
--
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 t~ the City Clerk/Recording Secretary.
_...... __f./~, ~ ......... _..._._ _ .__ ..... _ . .. _..... _.........
AGENDA ITEM NO. Imo" I ~ PUBLIC INPUT Ld"
................................................................................................................................................................................................................................................
IN FAVOR ^ OR OPPOSITION [~TO MATTER? TODAY'S DATE_
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NAME ~.~? j, G~~~-C'~ `"f ~S~-~~l `~ `'~-`~ ORGANIZATION
(if applicable)
3- t s= t t
HOMEWORK ADDRESS (~
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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?
~, j
NAME ~~~~'dit`.`~> ~/Li~ 1 1'~Lff~l~~, ~JY~ ORGANIZATION
(if applicable)
TODAY'S DATE .~ '
' ~'~' ~ ~ ~ t ' ~ _
HOMEIWORK ADDRESS , CITY/ZIP CODE ~ 11~~7~f 6"~ ~ ~- c ~G'
HOMEIWORK 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 ^
................................................................................................................................................................................................................................................
IN FAVOR ^ OR OPPOSITION~"TO MATTER? TODAY'S DATE ~ S/ '~ ~
~ -~/
NAME `%~~~ ~" ~ S ; ~~;%(v v,
~ ORGANIZATION
~ ~ (if applicable)
HOMEWORK ADDRESS CITY/ZIP CODE
HOMEIWORK 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. ^~J~~ PUBLIC INPUT ^
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE > ~/~ /~~
NAME ~~~"~ ~~ ~~~~"'~~ ORGANIZATIOf
(if applicable)
HOMEIWORK ADDRESS
~
~~~ ~~ ~ " ~ '~° ~~' 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 ^ OR OPPOSITION Q TO MATTER? TODAY'S DATE ~ ~~ ~~/ /~
NAME,--- ';~' ~~ '~~~2~~. ,~ ORGANIZATION~~~-~t.ric ~/~'.d.c~~~c' ~ 1~u-~=''u%.~~-
~~_,- / ~ ! ~ (if applicable) =f
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
NAME ~ ~~ ~~ ~ ~ ~~~' ~~~~~`~~ ORGANIZATION
(if applicable)
HOMEWORK ADDRESS , CITY/ZIP CODE
HOMEWORK PHONE NO.
(please indicate one)
E-MAIL ADDRESS
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.
,_,,, / F
AGENDA ITEM NO. L~' ~'~ PUBLIC INPUT ^
IN FAVOR ^ OR OPPOSITION ~TO MATTER? TODAY'S DATE f 7 /L`~H~~~f'~ ~ f
NAME _~'~~ TH~~ < L'~L=-Z~~r~~--~ ORGANIZATION
(if applicable)
/`~ _ -
~-
HOMEIWORK ADDRESS <-.~ ~~ ~~~ ~
~`( ~' ~ ~ ~.-~- ~ CITYIZIP CODE ~ '~
HOMEWORK PHONE NO. ~/~~ `? ~ ~~ ~ ~ ~~ E-MAIL ADDRESS_i~~ '~>
(please indicate one)