HomeMy WebLinkAboutSPEAKER FORMS 09-01-04
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 -
PUBLIC
IN FAVO¥OR OPPOSITION 0 TO MATTER?
NAME~úI .~t7\n+r\J
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ORGANIZATION
(if applicable)
q- J-() J/
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TODAY'S DATE
HOME/WORK ADDRESS :
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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 B'
IN FAVOR ~OR OPPOSITION 0 TO MATTER? ~~~~~,~~~~~,~7,~
NAME~ H"_IfW\.t'I~ ORGANIZATION -¡¡,..¡. 'tI¡4.~pc.l41.
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(please indicate one)
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 -
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IN FAVOR ¡iOR OPPOSITION 0 TO MATTER?
NAME_~Vn\ ~ l)~j
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TODAY'S DATE
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ORGANIZATION ~lJ PL\hhi~ (""kI...---
(if applicable) ~
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CITY/ZIP CODE
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 (]
IN FAVOR~ OR OPPOSITION 0 TO MATTER?
TODAY'S DATE
q /, JOl
NAME
Toh\ S"c;d::.,.:
I
(please indicate one)
ClTY 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~
NAMEiliill ið-M ~ .~v1 klJ...
ORGANIZATION AlIðo
(if applicable)
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HOME/WORKADDRESS {<
~ ['> E-MAILADDRESS~e,11
(please indicate one)
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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,
" ""O, 0 o, O~~,~,~G~"~::~ 0 - ;~',~~"'"iLrD f
NAME [>pnì::e/ AókrØv\ ORGANIZATION~.:_J\e,-z..(N1t(l~ld-\ ~
(if appllcabie)
HOME/WORK ADDRESS
E-MAIL ADDRESS -'.
(please indicate one)
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 -
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME J11M/~ 1h () A1^5
HOME/WORK ADDRESS ! /
(please indicate one)
PUBLIC INPUT ~
TODAY'S DATE q II lot¡:
ORGANIZATION {/)k/fM ~ 0/1 +roMe,
(if applicable) I
CITY/ZIP CODE ç 8Yi.J.. 4/1 ¿; 17..:roS-
E-MAIL ADDRESS