HomeMy WebLinkAboutSPEAKER FORMS 04-05-11�rCyCITY OF TuSTINREQUEST 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 0
.................................................................................................................................................................................................................................................
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME ��/ ORGANIZATION
�
HOMEWORK ADDRESS
CITY/ZIP CODE
HOME OR PHONE NO. � E-MAIL ADDRESS \'
(pleaAe ' icate 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;V%q.ORGANIZATION
(if applicable)
HOME/WORK ADDRESS CITY/ZIP CODE ( tJS I IAI
HOMEWORK PHONE NO. E-MAIL ADDRESSye-(
CITY OF TuSTIN SPEAKREQUEST TO �"C
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. [3 PUBLIC INPUT M
................................................................................................................................................................................................................................................
IN FAVOR ❑ OR OPPOSITION E] TO MATTER? TODAY'S DATE ��'�,V IL Z C,/Z
NAME ORGANIZATION A//fir
(if applicable)
f(_-10_MFNVORK ADDRESS
MAIL ADDRESS
please indicate one)
CITY OF TuSTINO
,,✓•,��
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 V- -&U-- ORGANIZATION
CITY/ZIP CODE �'7 D0
HOMENV RK HONE NO.— � E-MAIL ADDRESS
(please i 1cate one)
'G�rtv t)CITY OF TUSTIN
.',�•'Pel
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
..................................................................................................................................... ............................................................ 00A
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE i I
NAME ",° it ,l J�� �'r' ORGANIZATION GLS f7 i,su(�-'►` (`{ '
(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. 0 PUBLIC INPUT" <
............................................................................................................................................................................................................../...................................
IN FAVOR ❑ OR OPPOSITION W TO MATTER? TODAY'S DATE
NAME C /�� ORGANIZATION
(if applicable)
HOME/WORK ADDRESS
`�� E-MAIL
(please indicate one)
Y Off, CITY OF
REQUEST TO SPEAK
Flo,
Providing
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 , orm to the City Clerk/Recording Secretary.
................................................................................................................................................................................................................... .
AGENDA ITEM NO. 13 PUBLIC INPUT
................................................................................................................................................................................................................................................
IN FAVOR ❑ OR OPPOSITION R TO MATTER? TODAY'S DATE
NAME ORGANIZATION
(if applicable)
HOMEWORK ADDRESS �'�{'�
CITY OF TUSTINREQUEST 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
--- ................... I ............... I ....................... I .....................................
IN FAVOR ❑ OR OPPOSITION [']ATO MATTER? TODAY'S DATE
NAME
ORGANIZATION
(if applicable)
�� E-MAIL ADDRESS `�
E
(please indicate one)
CITY OF TuSTINREQUEST 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....O................................................PUBLIC INPUT
...........................................................
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAMET ]if� /� % ORGANIZATION
(if applicable)
HOMEWORK ADDRESS CITY/ZIP CODE
HOMEIWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
CITY OF TUSTIN
REQUEST . 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. 0 PUBLIC INPUT
.................................................................................................................................................................................................................................................
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME 'lod 1 C Y /,—i ORGANIZATION LL �� 1✓� �'�����
(if applicable)
HOMEWORK ADDRESS CITY/ZIP CODE % L
HOMEWORK PHONE NO. / �' �<� ,;_� 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 ZI iL-0 ORGANIZATION ,'VI �� �,a C%x 6,11, E
(if applicable)
HOMEWORK ADDRESS CITY/ZIP CODE
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. DPUBLIC INPUT P.....................
................................................................................................. ................................................ 1 . ... ... ...
IN FAVOR❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE'
NAME # .b'��L� �_.�°�L.� �� ORGANIZATION
(if applicable)
HOMENVORK 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.
7 .... ;pK"1rAIW........................................................................................................
AGENDA ITEM NO. D P..................PUBLIC INPUT....................................
........................ .
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE 45r f ( l
NAME 3 E�V --T;lpt-ttK3� ORGANIZATION
(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 to the City Clerk/Recording Secretary.
.......................................................................................................................................................................................................-.......................................
AGENDA ITEM NO. 0 PUBLIC INPUT,
................................................................................................................................................................................................................................................
IN FAVOR ❑ OR OPPOSITION ❑ TT(T
TER? TODAY'S DATE
NAME i V af ORGANIZATION
(if applicable)
HOME/WORK ADDRESS ! -; CITY/ZIP CODE 1 -
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.
.... .... ... ... .... .... ... ... .... ... ....
�tc,x ... ...................... AGENDA ITEM NO. ❑
ert�Vv�.e..................................................................-
PUBLIC INPUT ❑
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE / Ck b
NAME VL C ORGANIZATION
? (if applicable)
HOME/WORK 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 to the City Clerk/Recording Secretary.
................................................................................................................................................................................................................................................
AGENDA ITEM NO. 0 PUBLIC INPUT
.................................................................................................................................................................................................................................................
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
l ` I
NAME .t �l, Y ORGANIZATION
{ (if applicable)
HOMEIWORK ADDRESS��� ��' & CITYIZIP CODE'���
HOMEIWORK PHONE NO. 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
't ORGANIZATION
(if applicable) r�
HOMEWORK ADDRESS CITY/ZIP CODES
HOMEIWORK PHONE NO. '� E-MAIL ADDRESS � ����`�(�
(please indicate one)