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Home My WebLink AboutSPEAKER FORMS 11-28-17 CITY OF TuSTIN 64 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. PUBLIC INPUT .............. ............. ........- IN FAVOR © OR OPPOSITION TO MATTER? TODAY'S DATE NAME—]]aA4L�Z ORGANIZATION (iif applicable) HOME/WORK ADDRESS �(, �4CITY/ZIP CODE L HOME/WORK PHONE NO. E-MAIL ADDRESS (please indicate one) UITY OF TUST'IN 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. PUBLIC INPUT IN FAVOR [:] OR OPPOSITION 00% MATTER? TODAYS DATE ;� NAME A�A��) �% Lk ORGANIZATION (if applicable) MAIL ADDRES (please in dilcate one) CITY OF TuS,TIN ro 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. 3 PUBLIC INPUT .................. --........... ........... IN! FAVOR ❑ OR OPPOSITION TO MATTER? TODAYS DATE 2 NAME ORGANIZATION (if applicable), HOMEIWORK ADDRESS CITY/ZIP CODE HOME/WORK PHONE NO. E-MAIL ADDRESS (please indicate one) 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. ................ .................................. AGENDA ITEM NO. PUBLIC INPUT 0 ...............- ................................ IN FAVOR OR OPPOSITION /To MATTER? TODAY'S DATE -2, NAME ORGANIZATION (if applicable) CITY/ZIP CODE HOMEIWORK ADDRESS HOME/WORK PHONE No,. E-MAIL ADDRESS (please indicate one)