HomeMy WebLinkAboutSPEAKER NOTESCITY 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 PUBUC INPUT
IN F'AVOR'�OR OPPOSITION 0 TO MATTER? TODAY'S DATE 3
NAME ORGANIZATION
HOMEIWO,RK ADDRESS
CITY/ZIP CODE.
%
HOMEANORK PHONE NO, ( MAIL ADDRESS
(Wease indicate one)
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
, "Z
IN FAVOR OR OPPOSITION 0 MATTER? TODAY'S DATE
NAME EPA/, 944 —ORGANIZATION:
(K applicable)
–C
HOME[WORK ADDRESS ITY/ZIP CODE
H: '
E -MI ILADDRESS
(Please Indicate one)