HomeMy WebLinkAboutSPEAKER FORMS 07-05-11CITY OF 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.
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AGENDA ITEM NO. ❑ PUBLIC INPUT ❑
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IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
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NAME 1Z(V �-('� T C ORGANIZATION PA ll�y S + / o H O A
(if applicable) n
HOMEWORK ADDRESS
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(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� it
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NAME G. C. G< ORGANIZATION f r' �5-I'[✓1 (OA -
(if applicable) Q
HOMEMORK ADDRESS (� CITY/ZIP CODE 'I/—u 2 �U
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HOMEWORK PHONE NO.
(please indicate one)
E-MAIL 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 0
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IN FAVOR F1 OR OPPOSITION X TO MATTER? TODAY'S DATE s Zd G
NAME
ORGANIZATION
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. Q6 PUBLIC INPUT ❑
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IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE 1
NAME -0 C ORGANIZATION
(if applicable)
HOMEWORK ADDRESS _
MAIL ADDRESS
(please indicate one)
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CITY OF TuSTIN
\ ; / 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.�F.PUBLIC INPUT ❑
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IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE 7151 i
NAME /i�f%f�% ORGANIZATION
-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. ❑ ll'" 101"f PUBLIC INPUT ❑
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IN FAVOR ❑ OR OPPOSITION leTO MATTER? TODAY'S DATE 7 (1 ! !
NAME�"�n'�i�R�� ORGANIZATION
' ? ��; ` (if applicable)
HOMEfWORK ADDRESS CITY/ZIP CODE 5 L ? D
HOMEWORK PHONE NO.. %
(please indicate one)
CITY OF TuSTIN
REQUEST TO SPEAK
Providing the following information isstrictly 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.
C, V4 , ""''
..................... .......................................................................... ........ k 0 V. �. ............................................................................................
AGENDA ITEM NO. 0 i 39 PUBLIC INPUT 11
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IN FAVOR F] OR OPPOSITION TO MATTER? TODAY'S DATE 7L. � 6
NAME —ORGANIZATION
(if applicable)
HOME/WORK ADDRESS
E-MAIL
(please indicate one)
CITY OF 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. a PUBLIC INPUT ❑
.................................................................................................................................................................................................................................I..............
IN FAVOR AOR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME J / Gh \✓�-(' ! �1 cy-�-r ORGANIZATION
(if applicable)
HOMEWORK ADDRESS
CITY/ZIP CODE
HOMEWORK PHONE NO. _ `� E-MAIL ADDRESS , <)
(please indicate one)