HomeMy WebLinkAboutSPEAKER FORM 07-06-04
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.
AGENDA ITEM NO. 0 ~ PUBLIC INPUT 0
IN FA VOR ~R O::~:~I~:~~~:~~:::.................................~~~~~::~~~:~7..~t1m~
NAME ~ ~\Ïf'...tU.A ORGANIZATION~ Oc.:,\ð~ ~ ~\o~OvV\.J
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HOM~DRESS ~ \ -- .. ~ C 'TV/ZIP CODE -- "l\.""" \1.",,\ S
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HOME/WORK PHONE NO. .: E-MAIL ADDRESS
(please indicate one)
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.
AGENDA ITEM NO. 0
\3
PUBLIC INPUT 0
TODAY'S DATE ~ V ¿ Y 6, 'J,.ðO y
NAME t\ \ L H 11 [L llim.ß 5 ORGANIZATION--.fY\ L 0 J '"
(if applicable)
HOMEIWORK
66 E-MAIL 41L
L ~~se indicate one)