HomeMy WebLinkAbout05-17-16 MEETINGPUBLIC INPUT
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.
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PUBLIC INPUT
CITY OF TUSTIN ` 01" -
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. ❑
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER?
NAME
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CITY OF TuSTIN OQWO���
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. ❑
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER?
NAME TYQH l
PUBLIC INPUT �(
.......................................... ........ ......_:.................... ...
TODAY'S DATE 5
ORGANIZATION U ji
(if applicable)
HOMEWORK ADDRESS ��
� E-MAIL ADDRESS
(please indicate one)