HomeMy WebLinkAbout12-8-15 SPEAKER FORMSV'N ��_
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._RuU_tbe[ information may be used by staff to contact you.
Please complete an submit thus forethe City Clerk/Recording Secretary.
AGENDA IT M NO. 0 PUBLIC INPUT 0
IN FAVOR 01 OR OPPOSITION El TO MATTER. ODAY'S DATE
NAME 7 OLk"M kk� —ORGANIZATION
(if applicable)
HOME/WORK ADDRESS CITY/ZIP CODE
HOME/WORK PHONE NO. E-MAIL ADDRESS
(please indicate one) 7
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
City Clerk/Recording Secretary.
PUBLIC INPUT 0:
ODAY'S DATE, X
ft
NAME ORGANIZATION
(if applicable)
CITY/ZIP CODE
HOM,E/WORK P'HON E NO E -MAI L ADDRESS—.
(please Indicate one)
. .......... ...... –
'12M
CITY OF T1,.1SS' TIN
I
REQUEST TO SPEAK
Providing the fallowing 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 171
IN FAVOR ] OR OPPOSITION d TO MA'TTER'S TODAY'S DATE,..
NAME ORGANIZATION-----'--
(Lf applicable)
H'OMErWORK ADDRESS CITY/ZIP CODE
HOMEIWORK PHONE NO. E-MAIL_ ADDRESS
(please indicate one)
i
CITY OF TuST"IIS!
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.
p (o the City Clerk/Recording Secretary.
Please complete and submit this for-,
w
AGENDA ITEM NCI.® PUBLIC INPUT
, .. ............... ... .... .
IN FAVOR OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME'.'. OROANIATI
HOMEIWORK ADDRESS " "�`
_...—...,_CLTYIIP CODE
HOME/WORK PHONE NO. LY E-MAIL ADDRESS_
°
(please indicate one)
15
CITY OF TuSTIN
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/Recordling Secretary.
AGENDA ITEM NO. d, PUBLIC INPUT El
IN FAVOR P OR OPPOSITION TO MATTER? TODAY'SDATE
NAME ORGANIZATION
(if applicable)
HOME/WORK ADDRESS �11-��-�-' CITY/ZIPCODE
.-IOME/WORK PHONE -E-MAI�L
(olease indicate one1
CITY OF TuSTIN
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 -1, to the City ClerklRecording Secretary.
AGENDA ITEM NO PUBLIC INPUT El
IN FAVOR CR OPPOSITION El TO MATTER?
NAME_.. ORGANIZATION
(if applicable)
HOME/WORK ADDRESS CITY/ZIP CODE ;
HOME/WORK PHONE NO, — —E-MAIL ADDRESS --:� (��-"
(please indicate one)
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F;M�wi �A 11
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 tl isJorm to the City Clerk/Recording Secretary.
AGENDA IT EM O. P UBLIC INPUT
IN FAVOR t� OR OPPOSITION Ej TO MATTER? TODAY'S DATE--Ll,--
NAME
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(if applicable)
HOME/WORK ADDRESS CITY/ZIP CODE DE
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CITY OF TuSTIN
Providing the following information is strictly voluntary. Only your name wild 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 AQ -the City Clerk/Recording Secretary.
AGENDA ITEM NO, PUBLIC INPUT
IN FAVOR 'O,"QR OPPOSITION TO MATTER? TODAY'S DATE--L�-' --,
NAME ORGANIZATION______--,-
(if applicable)
HOME/WORK ADDRESS ( CITY/ZIP CODE
HOME/WORK PHONE NO. -MAIL ADDRESS
(please Indicate one)
CITY OF Tu' TI
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
IN FAVOR ®'OR OPPOSITION [I TO MATTER? T 0 DAYS DATE
7.
NAME ORGANIZATION—_
(If applicable)
HOME/WORK ADDRESS \ ' ,ITYIZIP CODE
HOME YORK PHONE NO. E-MAIL ADDRESS
(please Indicate one)
CITY OF TuSTIN
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 PUBLIC INPUT
IN FAVOR t2f/OR OPPOSITION El TO MATTER? TODAY'S DATE
NAME H64 L�IVVHD
ORGANIZATION R -A LY(?_
(if applicable)
HOME/WORK
�� , E -MA I LADDRESS—
(please indicate one)
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Providing the following information is strictly voluntary. Only your name wi',ll appear in the
official Minutes of this Meeting. The other information may be used by staff to contact you.
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AGENDA ITEM NO. 11 PUBLIC INPUT El
IN FAVOR 50'R OPPOSI ION TO MATTER? TODAY'S DATE
NAM, ORGANIZATION'
(if applicable)
HOME/WORK ADDRESS —CITY/ZIP CODE (
HOME/WORK PHONE NO. E-MAIL
(please indicate one)
]
CITY OF, TuSTIN
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 thi Goe tthe City Clerk/Recording Secretary,
..,........,.AGE
.... .
AGENDA ITEM NO. PUBLIC INPUT 11
IN FAVOR OR OP OSITITOM TIER? El ER? TODAYS DATE
ORGANIZATION
NAME
(if applicable)
HOMEWORK ADDRESS CITY/ZIP CODE
HOME/WORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
01
CITY OF TuSTIN
Fdx*��MWWTAI
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 fo m4o the City Clerk/Recording Secretary,
AGENDA ITEM NO., PUBLIC INPUT
IN FAVO R OPPOSITION El TO MATTER? TODAY'S DAT
'D
(if applicable)
)
HOME/WORK ADDRESS CITY/ZIP CODE
E-MAIL ADDRESS
HOME/WORK PHONE NO.
(please indicate one)
CITY OF TuSTIN
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.
Piease complete and submit this f6"*,to the City Clerk/Recording Secretary.
0
AGENDA ITEM NO. PUBLIC INPUT
IN FAVOR r OR OPPOSITION El TO MATTER? TODAY"S DATE ---
NAME iS &d I AW4fVV)-eVAU,- ORGAN IZATION---V
8 j (If applicable)
HOME/WORK ADDRESS '.—CITYIZIP CODE
HOME/WORK PHONE No.
(please indicate one)
CITY OF TuSTIN
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 Clerk/Recording Secretary.
AGENDA ITEM NO. PUBLIC INPUT
... ... .. .. . .. ... . ........
7
IN FAVOR OR OPPOSITION El TO MATTER? TODAY'S DATE----L�,., a
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ORGANI� ON
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NAM e�l /k: Z, 6 ZATI
(if applicable)
HOME/WORK ADDRESS '�-
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HOMEIWORK PHONE NO.( ,�"/ ��,�E-MAILADDRESS4,,,/
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