The URL can be used to link to this page

Home My WebLink AboutSPEAKER FORMS 08-16-04 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 _~~~~I~I~~~~~ .. .. .. IN FAVOR 0 OR OPPOSITION 0 TO MATTER? TODAY'S DATE 6 - J b -!J F NA~fJ Þr!'l t¡ l!b1VerL HOME/WORK ADDRESS /. [ / (please indicate one) ORGANIZATION )/G1fI£:¡VlJ~/m (if applicable) -::;/1 r¡ ÞI17 . n CITY/ZIP CODE NavlÞf:r77a!tßlf.6¥/- '1ZÞëi'8, E-MAIL ADDRESS 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;g( IN FAVOR 0 OR OPPOSITION 0 TO MATTER? TODAY'S DATE F -- / ¡;~Ol NAMEdø¿¡¿.¡ ¡;Zø~ ORGANIZATION íÍ/5//¡{j (~~ ~ (if applicable) HOME/WORK ADDRESS ZIPCODE 7C!Y1Ztj ()/ t{27f"2- HOME'~ONENO.fÝf'~)-/,t)ø E-MAILADDRES~~ ~~ (Pie~~;e one)