HomeMy WebLinkAboutSPEAKER FORMS 05-03-11ITYOt T N e, 1v
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REQUEST TO SPEAK.0,F , Nrljm- j
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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.
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AGENDA ITEM NO. PUBLIC INPUT ❑
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IN FAVOR ❑OR OPPOSITION F]TO MATTER? TODAY'S DATE
NAME \TatjA z PRAM Zq�@ l -byf ORGANIZATION
(if applicable)
E
HOMWORK ADDRESS` /
® E-MAIL ADDRESS
(please indicate one)
CIT
Y OF Tu TIN
cje,u�Sgl
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 F-1OROPPOSITION ❑ TO MATTER? TODAY'S DATE n/ 1/1;
NAME s'_.Au RE- Ad ELOV E ORGANIZATION
(if applicable)
HOME/WORKADDRESS
E-MAIL ADDRESS � ��
ease indicate one)
CRY OF Tt SIT N
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. ❑
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER?
NAME eD f t,
.............................................................................................................................
PUBLIC INPUT
.............................................................................................................................
TODAY'S DATE 51 3) II
ORGANIZATION kr� - TIA.s�I Q dA
(if applicable)
HOMEWORK ADDRESS
E-MAIL ADDRESS
(please indicate one)
CITY OF Tu IT1N
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
NAME TC -4145-4 ORGANIZATION A44 7-
,./ (if applicable) 1/v1,= I x
HOMEWORK 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.
.............................................. ............ : ......................... .................................................. ........................................... .. ..... . .......................
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AGENDA ITEM N . 0 .................................................. PUBLIC I . N .. P - U -T� ........... ... ... ....
.. . ... .... .. ...
IN FAVOR R OR OPPOSITION Fj TO MATTER? TODAY 'S DATE 120
NAME ORGANIZATIONT-u5Ti A) HM41663E!-
(if applicable) 044, cal"67ec�
HOMEWORK ADDRESS
CITY/ZIP CODE 6i-,zl 0)
HOMEWORK PHONE NO. ( ( —E-MAIL ADDRESS
GAY OF TITIN
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
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IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME 4A0r6v\) 6 ORGANIZATION
(if applicable)
HOMEIWORK ADDRESS �"
E-MAIL ADDRESS
(please indicate one)
UTY OF TuSITIN
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. 11 .................................................PUBLIC INPUT
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IN FAVOR ❑ OR OPPOSITION TO MATT R? TODAY'S DATE ✓A f
NAME li ��MK\\J\ ORGANIZATION
(if applicable) �j
HOMEWORK ADDRESS
MAIL ADDRESS (
(please indicate one)
CITY OF Tu TIN
,u,1c�
REQUEST TO SPEAK A
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 LO t I
NAME �VCC (/1 (/GYIe,,� trl� ORGANIZATION (SCS-
(if E ] applicable)
HOMEWORK ADDRESS CITY/ZIP CODE ` 70"(
HOMEWORK PHONE NO. � 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. 11 PUBLIC INPUT
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IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME —JaM eJp Lal ORGANIZATION
(if applicable)
HOMEWORK ADDRESS
E-MAIL ADDRESS
.►^
(please indicate one)
ITY 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. W 3 PUBLIC INPUT ❑
IN FAVOR ❑ OR OPPOSITION R TO MATTER? TODAY'S DATE d
NAME -ORGANIZATION--
(if
RGANIZATION'S(if applicable) �l
E
HOMWORK ADDRESS ��
E-MAIL ADDRESS
(please indicate one)