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HomeMy WebLinkAboutSPEAKER FORMS 01-21-80IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL/PLANNING AGENCY REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE RECORDING SECRETARY AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION. PLF~4SE PRINT:: .' DATE:/~/~-//~ ~)AGENDA ITEM NUMBER OR CASE NUMBER: IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE ~ OF COMPA~ OR GROU~: ~ ~r b ~ %4. k e ~ ¢ ~ ~ ~X'~ % ARE YOU SPEAKING IN FAVOR ~ OR IN OPPOSITION F--~TO THIS MATTER? IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL/PLaNNING AGENCY REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE RECORDING SECRETARY AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION. PLEASE PRINT: .': IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE NAME OF COMPANY OR GROUP: ARE YOU SPEAKING IN FAVOR ~ OK IN OPPOSITION ~ TO THIS MATTER? IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL/PLANNING AGENCY REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE RECORDING SECRETARY AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION. PLEASE PRI~VT: .' .' YOUR ~D~SS: ~--/ ~ IF YOU ARE REPRESENTING A COMPANY OR A PARTICULAR GROUP, PLEASE LIST THE NAME OF COMPANY OR GROUP: ARE YOU SPF~KING IN FAVOR ~ OR IN OPPOSITION ~ TO THIS MATTER? IF YOU ARE DESIROUS OF SPEAKING TO THE CITY COUNCIL/PLANNING AGENCY REGARDING A PARTICULAR MATTER, PLEASE COMPLETE THIS FORM AND HAND IT TO THE RECORDING SECRETARY AS YOU APPROACH THE PODIUM. THANK YOU FOR YOUR COOPERATION. PLEASE PRINT~;! YOUR FULL NAME: AGENDA ITEM NUMBER OR CASE NUMBER: YOUR ADDRESS: IF YOU ARE GROUP, PLEASE LIST THE NAME OF COMPANY OR GROUP: ARE YOU SPEAKING IN FAVOR []OR IN OPPOSITION []TO THIS MATTER?