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Home My WebLink AboutSPEAKER FORMS 10-18-11CITY 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 Clerk/Recording Secretary. AGENDA ITEM NO. ❑ PUBLIC INPUT- IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE NAME . DOo + ORGANIZATION 20 _ Avot fLe (if applicable) HOMEWORK ADDRESS CITY/ZIP CODE HOMEWORK PHONE NO. E-MAIL ADDRESS (please indicate one) CITY OF TUSTIN mar� 'Thw►ks9ivla� 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, I ©Lalu NAME Lo S rcDyj Y)� ORGANIZATION;, 1' 6 �� (if applicable) �� y� MAIL ADDRESS (please in e o 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 Ir - M-0 NAME " v ORGANIZATION4WI-- MAIL ADDRESS (please indicate one) x 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 P TO MATTER? TODAY'S DATE ` NAME 0�:c�;" , ORGANIZATION (if applicable) HOMEWORK 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. .».....»..».»»».........»...................... ..... ».........»...»....x.».»...»...»n..»... ...r.»»....--- .... r»«.......»».»r... ......... ...... ... i AGENDA ITEM NO. ❑ PUBLIC INPUT ....... ».._.......... ».......... ...................................................................................... _»...._....___»........._...._...»..»�r»......................................... IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE 10 / NAME /-e 4ORGANIZATION (if applicable) HOMEWORK 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 NAME Af"Wd Z1-11-RFr '4FF0VR ORGANIZATION (if applicable) t HOMEWORK 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. AGENDA ITEM NO. IN FAVOR',] OR OPPOSITION ❑ TO MA NAME PUBLIC INPUT ❑ 1 DAY'S DATE < GANIZATION (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. ❑ PUBLIC INPUT ❑ IN FAVOR ❑ OR OPPOSITION M -TO MATTER? TODAY'S DATE (G, , CUi" -/ 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. AGENDA ITEM NO. 09L-�3 PUBLIC INPUT ❑ IN FAVOR ❑ OR OPPOSITION L I TO MATTER? TODAY'S DATE �C) - AA ''� NAME v1 [24e4,=:- ORGANIZATION (if applicable) �� . HOMEWORK ADDRESS -, MAIL ADDRESS (please indicate one) 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 JWTO MATTER? TODAY'S DATE -4f ��11 � r NAME ORGANIZATION (if applicable) HOMEM/ORK ADDRESS L 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. ............... ... ........................................................... I................... ,.......................................... ...................................................... ............................................ AGENDA ITEM NO. ❑ PUBLIC INPUT ❑ ................................................................................................................................................................................................................................................ IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE NAME-' .5 G'�t%�Li�� ORGANIZATION (if applicable) \� CITY/ZIP CODE HOMEIWORK PHONE NO. E-MAIL ADDRESS (please indicate one) CITY OF TUSTIN 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 FAVORU/OR OPPOSITION ❑ TO MATTER? TODAY'S DATE 6/C4 it NAME---( aA—LA4 vtjbORGANIZATION Af-S �Am M WI (IUAU 4 E/� ,�,{� (if applicable) ' HOME/WORK ADDRESS (� E-MAIL ADDRESS (please indicate one) CITY OF TUSTIN V 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 ClerWRecording Secretary. _.... AGENDA ITEM NO. PUBLIC INPUT ❑ IN FAVOR ❑ OR OPPOSITION QTO MATTER? TODAY'S DATE't NAME �� D L' �� LI ORGANIZATION (if applicable) HOMEWORK ADDRESS CITY/ZIP CODE u HOMEWORK PHONE NO. E-MAIL ADDRESS (please indicate one)