HomeMy WebLinkAboutSPEAKER FORMS 08-02-11CITI~ ~~ T~~STIN
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 S~E~NAE~I 2'G w1 /~Ti tt.5 ORGANIZATION
(if applicable)
HOMEIWORK ADDRESS . CITY/ZIP CODE ~~ ?~
HOMEIWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
• Cinr 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 confect 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 $' a' a° I ~
NAME ~i'l~( Cghek~ ORGANIZATION
(ff applicable)
HOMENVORK ADDRESS CITYRIP CODE ~d7 d'y
HOMENVORK PHONE NO. '~'~ E-MAIL ADDRESS ¢,-'
(please indicate one)
CITY ~~ T~~S~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 c/~/~-~~ ~
NAME Jac- I I '~- ~r?c ~~(~ ORGANIZATION ~ T~ ~~
if a licable
~E-MAIL ADDRESSh
(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 CierWRecording Secretary.
AGENDA ITEM NO. ^ PUBLIC INPUT ^
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY S DATE
NAME ~~~ ~'~ ~ 1_ ~ ~ ORGANIZATION
(if applicable) -7 G
HOMEWORK ADDRESS ~ ~ ~ ~ ~ CODE ~~ 16
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. [A ~_ PUBLIC INPUT
IN FAVOR ^ OR OPPOSITION O MATTER? TODAY'S DATE ~~/ O~-/a~~/
NAME /`a~°~ ~O~ 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. ~ "~.3 ~~ PUBLIC INPUT ^
IN FAVOR OR OPPOSITION ^ TO MATTER? TODAY'S DATE d
NAME ~ S r/G12(° z- ORGANIZATION ~
(if applicable)
HOMENVORK ADDRESS ~
E-MAIL ADDRESS,
(please indicate one)
CITY ~~ T~~ST~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. ^ PUBLIC INPUT ^
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE O ~"
NAME ~~~~~~ P`1 ~n ~~1G~~ Z~ ORGANIZATION
(if applicable)
HOMENVORK ADDRESS ~ ~
E-MAIL ADDRESS
(please Indicate one)
i/
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 O ~ ~ I
NAME ~1 s5(~~~ t1a ~n2Z ORGANIZATION
(
ADDRESS `
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