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CITY OF TuSTIN cora
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REQUEST TO SPEAK
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Providing the following information is strictly voluntary. Only your name .ill appear in the
official Minutes of this Meeting. The other information may be used by staff too contact you.
Please complete and submit this form to the City Clerk/Recording Secretary.
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AGENDA ITEM NO. ❑ PUBLIC INPUT I
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE �r .�� k7') 1 �-�"
NAME � v '� � �!i�� l�1 Yl ORGANIZATION
(if applicable)
HOMEWORK � � ITYZIPCODE : �
HOMEWORK RK PHONE NO. � E-MAIL ADDRESS �-