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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. ................................................................................................................................................................................................................................................ r AGENDA ITEM NO. ❑ PUBLIC INPUT ❑ ................................................................................................................................................................................................................................................ IN FAVOR OR OPPOSITION ❑ TO MATTER? TODAY'S DATE ) t='Z 7 Z;20%,S NAME iQ.X\C_ 1/ 1&QCX!n, 1'C 1 ORGANIZATION (if applicable) HOMEWORK ADDRESS �. �: . - CITY/ZIP CODE __ HOMEWORK PHONE NO.?/ E-MAIL ADD � (please indicate one) 0 r 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. ...........................I.......( x......................... AGENDA ITEM NO.PUBLIC INPUT ❑ .............................................................................................................................................................................................................................................. IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE NAME 90 y' �'! ORGANIZATION (if applicable) HOMEWORK ADDRESS ' CITY/ZIP CODE `'� . HOMEWORK PHONE NO. _ 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. ❑ Q, PUBLIC INPUT ❑ ................................................................................................................................................................................................................................................ IN FAVORk OR OPPOSITION ❑ TO MATTER? TODAY'S DATE NAME I �Y �� h ORGANIZATION (if applicable) HOME/WORK ADDRESS �� ✓' CITY/ZIP CODE _ HOME: F®RPHONE NO. ADDRESS o (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 N0..O/...... ................................PUBLIC INPUT..❑........................... .... ....... ................................................................................................................................................................................................................................................ IN FAVOR .VOR OPPOSITION ❑ TO MATTER? TODAY'S DATE 0 Z �J NAME I�_ �/� �� ORGANIZATION (if applicable) HOMEWORK ADDRESS CITY/ZIP CODE HOMEWORK PHONE NO� MAIL ADDRESS (please indicate one) ti 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 ❑ ................................................................................................................................................................................................................................................ /r IN FAVOR OR OPPOSITION ❑ TO MATTER? TODAY'S DATE U / NAME JWIVt V1 1, b ORGANIZATION T `' ' (if applicable) HOMEWORK ADDRESS ) CITY/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. A, "2— PUBLIC INPUT ❑ .......................................................................................................................................................................................................... IN FAVOR;jR OR OPPOSITION ❑ TO MATTER? TODAY'S DATE NAME �� �') ORGANIZATION l (if applicable) HOMEWORK ADDRESS CITY/ZIP CODE _ O /WORK PHONE NO. MAIL ADDRESS `–(ease indicate one) C 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. n '2,- PUBLIC INPUT ❑ ................................................................................................................................................................................................................................................. IN FAVOW�'OR OPPOSITION ❑ TO MATTER? TODAY'S DATE NAME �G�j��G� f I'"l ORGANIZATION �� (if applicable) HOME/WORK ADDRESS �` ZIP CODE � E HOMEWORK PHONE NO. (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. 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