HomeMy WebLinkAboutSPEAKER FORMS 2-13-18 ..........-
ow
GITY OF TUSTIN
EFup
ST TO, SPEAK
Providing the followling informationis strictly voluntary. Only your name Mill appear, in the
off Icial iii Minutes of this Meeting. The other informiatilon may be, used by to to, contact youp
Please complete, and submit this,form to the City Clerk/Recording Secretary,
................ ......
AGE
N,NDA ITEM, lop, PUBLIC INPUT
sf
IN FAVOR POSITION [:]'TO MIATTERI? TO DAY S DATE
cX
NAME
ORGANIZATION
applicable)
HOME/WORK ADDRESS CIT'Y/ZIP CODE
HOME/WORK PHONE NO. EI-jMAIL ADDRESS,
(Pilease indicate one)
- ---------
CITY
oF TuSTIN
............
REQUESTTO SPEAK
Providing the following information 'I's strictly voluntary,, Only your name will appear, in the,
off icial Minutes of this Meeting. The other 'Informab"'on may pused by staff to contaict you,
Please complete, and submit this form to the City Clerk/Recording Secretary.
.......... ........... .............. VA.
AGENDA ITEM NO,. PUBLIC INPUT
............... ...... ............................
IN, FAVO RE] OR,OPPOSITION XTO'MATTER TODAYS, DATE, 2
T4,
NAME
ORGANIZA ION
�mw 11
(If applicabi
H0M,E/W0R'K,ADDR,ES,S GITY/ZIP CODE,
j
HOMEWORK PHONE NO. E-MAIL ADDRESS(
(pillease Indicateone)
wM
CITY OF TuSTIN
"00,00 °"-
y�
E T TO, SPEAK
Providing the following info an i"s strictiy voluntary. Only your narnie will appear i he
officialMinutesof this Meeting. hI Ther iWarmation may e used bjy as to contact,youp, I
I
Please complete and
l
i
submilt thisClerk/Recording
wwxwMw nnwxw ww�x�m'urvwsx n-x•:aarxe.r"n+aawkr ee.��.,w wnw Xxw..wu�w.�M enex ea««nu�nu.n�wn�o�aaar.+waara�ear"rrr"eax...,w.«a wwbmwe«vx xww,e wx�.wx�r««x uwe u.wwM.rwwnn.arr.«xeeearmn�mrna'awarra r u;�w a +nnu.;w..u,u M,ew xx.x�.u.ww.r,�w.«xauo.wxam.'ir irmraw,nra4w'.:;Mw e.vnv«ora
i
AGENDA ITEM NO. PUBLICINPUT
ru�u,u,uuk rwxMvvw u'.np �b x�wxwx nma xxww�wwn M�nawm R�,i,a iyea aWbiYM 4'NN 9Aw�....-.w-ww.... ........ ...... ..we'uww-....xO.I..A..,.".ib-.8 btl*a64wi""",",."paana,".,,aw.a.'�,v..wxh...... Mxxedwxrm�wrwx wmvsuw
I
IN FAVOR, OR
'ON TO MATTER? TO DAYS DATE,
I
j'
NAME ORGANIZATION
(iff applicable)
to
w
I
HOMENORK ADDRESS I ISP CODE
H I RK PHONE NO. E-MAIL ADDRESS,
les is one)
--------------------
CITY OF TuSTIN
REQUESTTO SPEAK
Providing the follow"Ing, iinf armatilon is strictly,vowntary. Only your, narne, will appear, Un the
off icial Minutes of this Meleting., The otherinformatiloused by,staff to contact you.
Please complete and SUbmit this,for to the City Clerk/Reco rid"I ecretary.,
.................. ................
AGENDA ITEM PUBLIC INPUT
........... .....
1"20,ib
IN FAVOR OR OPPOSITION� TO MATTER? TODAY'S DATE
NAME 013GANIZATION D'L. L.,Ilu
(if applicable),
KOME/WORK PHONE, NO# EMAIL ADDRESS
(phase indicate one),
..................
CITY OFTuSTIN
REQUEST TO SPEAK
Provid'ing thefollowing Information, "s strictily voluntary. only yolur name,wial appear un the
off iciai Minutes of this meeting. The other 'informa,tion may be used iby stialff"to, con't,act you.
I
Please complete and submil thiis,formto the City Cl�erk]Recoirdl',ng ,S,ecretaryi.,
AGENDA,ITEM NO. PUBLIC INPUT
........... �ubµaro ...........
IN FAVOR ,0PP0S41T10,Nj—]'TO MATT,ER? TODAY'S DATE, 13
1 ok"
L
NAM
E ORGANIZATION
(if applicable) fir'
CITYIZIPGODE
HOMFMORK ADDRESS
E-MAIL ADDRESS "''
(please indicate one)
WON-"immm I
I
CIT;Y' O,F
i
REQUEST T SPEAK
PtoIVy a�II I�� �idWM
vi' lowing minformation "s, strictly vountary, l name will appearin the
The other information may be, useldcontact
Please complete and submit"thil's form to, the, Clity Clerk/Record'Ing Secretary.
1
...............ww.r�
I
AGENDA,ITEM
. __
van�wwr a....uea�!r..uraw r+...n........... .....w. .....
I
i
*u. I
I.
FAVOROR SII ATE.
i
J
I
NAMEORGANIZATION
applicable),
I
HOME/WORK PHONE No.
!
please vindicate
I�
CITY OF TUSTIN
REQUEST TO SPEAK
Provid'ing, �the folliowinig information is, strilictly'violuntary. Only your �name wi'll appear in the
'The other informatioti may be used by staff to contact you.
official Minutes of this Meeting.
Please complete, anA submilt thlis form to the City Clerk/Recordling Secretary.
AGENDAITEM NO PUBLIC INPUT El
011"MATT,E,R?., TODAY'S, DAT E,
IN FAVOR GR OPPOSITION
Arvclr�kjl
NAME ORGANIZATION
(if applicable)
0
HOMEMORK ADDRESS,
AD �R ES
(please indicate one,)