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SPEAKER FORMS 01-03-12
• CITY OF TUSTIN 'k~`~:" RE(~UEST 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 d IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE I _ ~ _ NAME ~) n~a~_ (if applicable) HOMEWORK ADDRESS CITY2IP CODE HOMEWORK PHONE NO. E-MAIL (please indicate one) ~ ~ ~