HomeMy WebLinkAboutSPEAKER FORMS 04-17-12-0
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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 for to the City lerk/Recording Secretary.
Gr
..................................... ...._..,/41�.Y1...U........_... ...l J.... ......1/Y!..............._..._✓ ..._........: "::>7._L .
AGENDA ITEM NO. ❑ PUBLIC
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME G ORGANIZATIOI`
(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 MATTER?
NAME
PUBLIC INPUT
TODAY'S DATE Al — 0 `/ �
ORGANIZATION UU 11tV r ' p `p i N "S O'YI
I (if applicable)
HOMENVORK ADDRESS � CITY /ZIP CODE_
HOMEIWORK PHONE NO/ ��� E -MAIL ADDRESS
(please indicate one)
S v C. It
61% 29ka /