HomeMy WebLinkAboutSPEAKER FORMS 08-02-04
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.
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AGENDA ITEM NO. 0
PUBLIC INPUTÀ
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NAME -1hcb(ï1 rAG
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TODA Y'S DA TE-1V' ¥ Ot{
ORGANIZA TIONJ:LlL.L-
(if applicable)
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
HOME/WORK ADDRESS CITY/ZIP CODE
HOMEIWORK PHONE
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)(
...................................................
.......................................................................................................
TOOAY'SOATE 51-;;? - 0/
NAME ORGANIZATION
¡; () E-MAIL AOORESS -::
(please mClicate one)
IN FAVOR 0 OR OPPOSITION