HomeMy WebLinkAboutREQUEST TO SPEAK 8-8-17 CITY OF T'uSTIN
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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AGENDA ITEM NCB.A 'Z PUBLIC INPUT 0
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IN FAVOR 0 OR OPPOSITION TO MATTER? TODAY'S DATE V/7
ORGANIZATION
NAME b WCU4-
x
(if applicable)
CITYfZIP CODE
ME/WORK PHONE NO. E-MAIL ADDRESS
I
%C0*1TY 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/Reco�rding Secretary.
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AGENDA ITEM NO. 2- PUBLIC INPUT
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IN FAVOR �(OR OPPOSITION TO MATTER? TODAY'S DATE '9115, 119L
NAME
ORGANIZATION
(if applicable)
HO,ME/WORK ADDRESS , -CITY/ZIP CODE
HOME/WORK PHONE NO. E-MAIL ADDRESS
('please indicate one
A*%
0 UITY 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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AGENDA ITEM NO./V PUBLIC INPUT
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IN FAVOR [-] OR OPPOSITION TO MATTER? TODAY S DATE
NAME...Mia'/4 ORGANIZATION
(if applicable)
HOMEtWORK ADDRESS CITY/ZIP CODE
HOME/WOAK PHONE NO, E-MAIL ADDRESS
(please indicate one)
CITY OF TUSTIN
Tl
REQUEST TO SPEAK
Z
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.
II
Please complete and submit this form to the City Clerk/Recording Secretary.
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AGENDA ITEM NO. PUBLIC INPUT Cl
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IN FAVOR [:] OR OPPOSITION TO MATTER? TODAY DATE
NAGE ORGANIZATION
(if applicable)
HOMEIWORK ADDRESS CODE
R
H!OM -67 HONE No' E-MAIL ADDRESS
(pleat vicate one)
CITY OF TUSTIN
REQUEST TQ! 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 ClerklRecording Secretary.
............... ........
AGENDA ITEM NO PUBLIC INPUT
IN FAVOR E]OR OPPOSITION ❑TO MATTER? TODAYS DATE
NAME 'T I ORGANIZATION 7
(if applicable)
HOME/WORKAD,DIRESS CITY/ZIP'CODEAv�
MAIL ADDRESS
HOM RK PHONE NO.
(please indicate one)