HomeMy WebLinkAboutSPEAKER FORMS 05-20-85IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT T8 THE CITY
CLERK AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION.
PLERSE PRINT
REDEVE1.0PI~NT AGENDA ITEM NO.-~
YOUR ~UL' NAME: /J~Z ~ L -~re ~
YOUR ADDRESS: //...~'~¢ ~ ~: /~/, ~' ~'. /'~-
IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE NAME OF
COMPANY OR GROUP:
ARE YOU SPEAKING IN FAVOR ~'l OR IX OPPOSITION [] TO THIS MATTER?
IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE CITY
CLERK AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION.
PLEASE PRI#T
DATE:j~~~
CITY COU#CIL A~E#DA ITElq NO.__~L~_~~
REDEVELOPME#T AGE#DA ITEM NO.
YOUR FULL NAME:
YOUR ADDRESS:~__
IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE NAME OF
COMPANY OR GROUP:
ARE YOU SPEAKING IN FAVOR [] OR IN OPPOSITION i~TO THIS MATTER?
IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE CITY
CLERK AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION.
PLEASE PRI#T
CITY COUNCIL AGE#OA ITEM NO. /
R£DEYELOPI~NT ~GE#DA ~TEM NO. 1~ ~
YOUR FULL NAME: '~ L'~) ~ ~) C A ~ ,,,~0 ~(
IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE NAME OF
COMPANY OR GROUP:
ARE YOU SPEAKING IN FAVOR ~ OR Ill OPPOSITION [] TO THIS MATTER?
IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE CITY
CLERK AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION.
PLEASE PRINT
REDEVELOPI~NT .aGENDA ITEM NO.
IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE NAME OF
COMPANY OR GROUP:
ARE YOU SPEAKING IN FAVOR [] OR Ill OPPOSITION l~ TO THIS MATTER?
IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE CITY
CLERK AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION.
DATE: ~-Zc9 -~,-5~
CITY COUNCIL A~NDA ITEM NO.
PLEASE PRINT
REDEVEI.0PI~NT AGENDA ITEM NO.
YOUR FULL NAME:
YOUR ADDRESS: ~ '.,,~.
IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE NAME OF
COMPANY OR GROUP:
ARE YOU SPEAKING IN FAVOR [] OR IN OPPOSITION ~0 THIS MATTER?
IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COU)
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS
CLERK AS YOU APPROACH THE PODIUM.
DATE:
W, ~'mes Nethen/, DiD.S.
Ilofacial P~osthetics
WESTERN MEDICAL CENTER
1001 N Tustin Ave., Santa Aha, CA 92705 (7'14) 953 33'12
~4~ Ur~ited Western Modical Centers, A non-profit
~ heoffhcare COrporation dedicoled to community service
THANK YOU FOR YOUR ~,uu,-c~c,m.
PLEASE PRI#T
CITY (~)UNCIL A~EilDA ITEM NO.
REDEVELOPI~NT AGENDA ITEM NO.
IF YOU ARE REPRESENTING A COMPANY ORA PA~TICU~R GROU~, PLEASE LIST THE NAME OF
COMPANY OR GROUP:_ ~(~Lr~q ~K,'~ct~
ARE YOU SPEAKING IN FAVOR.~ OR IN OPPOSITION [] TO THIS MATTER?
IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE CITY
CLERK AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION.
PLEASE PRINT
CITY COUNCIL AGENDA ITI~! NO. /,k~'~ ~
REDEVE]_OPNENT AGENDA ITEM No.
YOUR FULL NAME: '~'~'~~/t''~:?~/ /~ ? '~
IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GRIP, PLEASE LIST THE NA~ OF
COMPANY OR GROUP: '~/~C/) Y
ARE YOU SPEAKING IN FAVOR ~ OR IN ~POSITI~ ~ TO ~IS ~TTER?
IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE CITY
CLERK AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION.
PLEASE PRINT
DATE:
CITY OOUNCIL AGENDA ITEM NO.
REDEVELOPI~NT AGENDA ITEM NO.
YOUR FULL NAME:
YOUR ADDRESS:
IF YOU ARE REPRESENTING A ~MP~NY OR A PARTICULAR GROU~, PLEASE LIST THE NAME OF
COMPANY OR GROUP: 'Jd/:L~'~,~ [~ /7 ~ ~ ~ ~'~j. 7>.
ARE YOU SPEAKING IN FAVOR [-i OR IN OPPOSITION [] TO THIS MATTER?
IF YOU AREDESIROUS OF SPEAKING TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TD THE CITY
CLERK AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION.
PLEASE PR*[#T
DATE:
CITY COUNCIL AGENDA ITEI~ NO. /,
RE1)EVELOPI~NT AGENDA ITEM NO.
YOUR FULL NAME:
YOUR AODRESS:
IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE NAME OF
COMPANY OR GROUP:
ARE YOU SPEAKING IN FAVOR~OR IN OPPOSITION [] TO THIS MATTER?
IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE CITY
CLERK AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION.
PLEASE PRI#T
CITY COUNCIL AI~EIIOA ITEM NO. ~ y~/d/~y~f/O/~
REOEYELOPI~#T ~GENDA ITEM NO.
IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE NAME OF
COMPANY OR GROUP:
ARE YOU SPEAKING IN FAVOR [] OR IN OPPOSITION [] TO THIS MATTER?
IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY
REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND ~AND IT TO TNE CI?Y
CLERK AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION.
DATE: Y/~O /
CITY COUNCIL AGENDA ITEN NO.
REDEVE].OPIqENT AGENDA ITElq NO.
YOUR FULL NAME:
PLEASE PRINT
YOUR ADDRESS: ~/~ /~ )'
IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE NAME OF
COMPANY OR GROUP:~?o~,m~y ~o~ ~o~,~o~c~ ~m~ ..~'~,u ~o .,~,,~'~'~
ARE YOU SPEAKING IN FAVOR ~ OR IN OPPOSITION [] TO THIS MATTER?