HomeMy WebLinkAbout01-20-15 MEETING PUBLIC INPUT
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GST` CITY OF TUSTIN
REQUEST TO SPEAK
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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�w
IN FAVOR❑ OR OPPOSITION ❑TO MATTER? TODAY'S DATE 1/ t d/15
NAME S= " r1 ORGANIZATION (1114E12-1 c6& Lai t a
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HOME/WORK ADDRESS CITY/ZIP CODE TUSTIN TUSTIN
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HOMEWORK PHONE NO. E-MAIL ADDRESS
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arWit 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•0'
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IN FAVOR E.OR OPPOSITION ❑�T/Oy�MATTEI ? /TODAY'S DATE
NAME I ' �ti bo z ,5 / / / (If / C 1'0cV ORGANIZATION
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ZIP
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HOME/WORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
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„sty 0, PUBLIC INPUT
Gz 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.
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AGENDA ITEM NO.vt- 3 PUBLIC INPUTS '°��
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IN FAVOR❑ OR OPPOSITION TO MATTER? TODAY'S DATE !
NAME C�1JR 6 '
ORGANIZATION
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HOME/VVORK ADDRESS / CITY/ZIP CODE l v1/217-1/1/ gL9,o
HOME/WORK PHONE NO. E-MAIL ADDRESS
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