HomeMy WebLinkAboutspeaker formsCITY 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 VOR OPPOSITION ❑ T MATTER? TODAY'S DATE
NAMEZ3��lORGANIZATION
(if applicable)
HOMEWORK ADDRESS <�"- 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. 11..
PUBLIC INPUT �1
................................................................................................................................................................................................................................................
IN FAVOR Dd OR OPPOSITION ❑ TO MATTER? TODAY'S DATE I //,Ll I I `-1
NAME �< V/7 Li/2`1 r^ ORGANIZATION
(if applicable)
HOMEWORK ADDRESS , �' ��^'�- CITY/ZIP CODE ?
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
CD
cz
�0
m
�-
z
w
z
w
v
w
a�
0a.
m
❑
Q.�
v
❑
LLJ
�'
=
cu
N
J
LU
O
> i
O
Z: a
uj
NCY
\
uj
oUJ
=
z €
w
co
W
.a
O `'-
~O
4- U)
®
O
na.
U
LU
Z
,-.
z c
=
ca
O
❑
0 0
a
a)
0
�=
❑
Q
CL)
= �
a. a
W(f
>'
I I
L— ._O
o
O
0
U)
a-
w
w
w a
Q
""
Q
O O
0._
z
Z
_
GITY 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. 0 02 PUBLIC INPUT ❑
................................................................................................................................................................................................................................................
IN FAVOR �4 OR OPPOSITION ❑ TO MATTER? TODAY'S DATE 1 - 1 Lf •/ q -
NAME �r'� I�� ORGANIZATION
(if applicable)
HOME OR ADDRESS
HOME OR PHONE NO.
(please indicate one)
CITY/ZIP CODE %
E-MAIL ADDRESS
CITY OF TUSTlN
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 l � 1 1(' 1 Y
NAME A d Aa ORGANIZATION
(if applicable)
HOMEIWORK ADDRESS CITY/ZIP CODE
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
/ �/
-