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HomeMy WebLinkAboutSPEAKER FORMS 11-1-11CITY 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. lea e complete and submit this form to the City Clerk(Recording Secretary. ............... M_.w...-_____ _.......... . ,� �._.._._.._..... AGENDA ITEM NO. ❑ PUBLIC INPUT - IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE NAME �1� / X_"L-�- ORGANIZATION Vic✓ C (if applicable) � r _ 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. ❑ PUBLIC INPUT IN FAVOR © OR OPPOSITION ❑ TO MATTER? TODAY'S DATE r NAME — "\JeL+Z,4- 4 __ �–� _ .. ORGANIZATION (if applicable) `J 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 ❑ ................................... ......... . -klr........... ............. .................. r IN FAVOR E:1 OR OPPOSITION TO MATTER? TODAY'S DATE ' I NAME ckr l s G0h-LttLe-2- ORGANIZATION (if applicable) HOMEWORK ADDRESS 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. ❑ PUBLIC INPUT K . IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE t ` c NAME �1 C) N3 ORGANIZATIONL? (please indicate one) CITY OF TuSTIN REQUEST TO SPEAK re. 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. ..__._._.__._ _ ._...._...._.__ ..__._.__.._.._..._.......w. �.._._ .__.._._..._.._...__._._.........._�_�....../..._._.__...__.__... AGENDA ITEM NO. ❑ PUBLIC INPUT 13d IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE j1z, �2 NAME f3�/V v ' _. ORGANIZATION (if applicable) HOM EMPO ADDRESS E-MAIL ADDRESS (please indicate one) Z 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 $0 TO MATTER? TODAY'S DATE NAME ' +'� �>�� i'O� "� ORGANIZATION �() (if applicable) E HOMWORK 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 =MATTER? TODAY'S DATE NAME ��- ORGANIZATION_I_ P11 ( x,Qou'4,u� (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 E], -TO MATTER? TODAY'S DATE c�ti o l NAME JJe GANIZATION I s A -,c- 6v ,e -"a -h -4 , (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 OOR OPPOSITION ❑ TO MATTER? TODAY'S DATE ` NAME ORGANIZATIONSW r A I I?SIS (if applicable) HOMEWORKADDRESS CITY/ZIPCODE TV$ U 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 OPPOSITIC N E TO MATTER? TODAY'S DATE NAME (7 L� ! ORGANIZATION 1-/" D- /A,'& (if applicable) HOMEWORK ADDRESS CITY/ZIP CODE . HOMEWORK PHONE NO. E-MAIL ADDRESS (please indicate one)