HomeMy WebLinkAbout12-13-17 SPEAKER FORMS ITEM #2 CITY OF TuSTIN
U E T TOS SPEAK,
Providing the followling informaltion Ols stet ly voluntary'., Only your narnle will appear 'in the
official Minutes ofthils Meeting. The,, other information may be used by staff to, contact you.,
Please complelte and submit this form to the, City Clerk/Recorlding Secretary,,
Al........
AGENDA ITEM NO PUBLIC INPUT
............. ..........
L I
IN FAVOR OR, OPPOSITION TO, ITER? TODAYIS, DATE
INN
NAME ORGAN JZATTN
�
(lif applicable)
HOM E/WORK AD DRESS CITYIZIP CODE
CITY OF TuCSTIN
ESTITO SPEAK
Providing the following ink tio,n 'I's strictly voluntary,,. Only your namie will, appear 'in the
offliciial Minutes ofthis Meeting,, The of information may be used by staff to, ciontact you,
Please complete and submit this form to the City Clierk/Recording Secretary,
.........................................
AG E N�DA ITE M N 0. PUBLIC INPUTO
IN FAVOR OR,OPPOSITION TO MATTER? TODAY"S DATE
NAME ORGANIZAT ION
(if applicable),
HOM
E/W'O,RK ADDRESS
MAIL ADDRESS
(please indicate one)
I I........I W.....
CITIIS
Y OF TUSTIN
REQUEST TO SPEAK
Providing thiefollowing information 'is strictly voluntary. Only youname will, appear in the
official Minutes of thilsMeeting. The, other information may be used by,staff to contact you.,
Please complete and submit,this, form to the City,Clerk/Reco rdlin g Secretary.
AGENDA.ITEM, NO,. PUBLIC INPUT
IN FAV TER? TODAY'S DATE
..........
OR,0"911,OPPOSITION C]TO MAT
ORGANIZATION,
NAME
(if applicable)
DE
IVIAIL ADIDRESS
HOWEANOWPHONEN
(pilease indicate one)