HomeMy WebLinkAboutSPEAKER FORMS CITY OF TuS,TIN
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/Reco,rding Secretary.
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AGENDA ITEM NO. PUBLIC INPUT 0
....................................*........................................................ x
IN FA CDR El OR OPPOSITION [:]TO MATTER? TODAY'S DATE,
NAME —ORGANIZATION74)0'A
(if applicable) aT
HOMEIWORK ADDRESS CITY/ZIP CODE
E/WO,RK PHONE NO. E-MAIL ADDRESS
(please Indicate one)
CITY OF TuSTIN .„
REQUEST TO SPEAK
Providing the following information is strictly Voluntary. Only Yacmr name will appear in the
official Minutes of this Meeting, The rather information may be used by staff to contact you.
Please complete and submit this foram to the City Clerk/Recording Secretary.
AGENDA ITEM NOIIN " PUBLIC INPUT d'
IN FAVOR OR OPPOSITION TJ MA TER" TODAY'S DATE
NAME 'Y.Ac 'A1 " ✓ ORGANIZATION
(if applicable)
HOMEi ORK AD DRESS ".
E-MAIL AD DRESS
(please indicate erne)
r CITY OF TuSTIN
M
M N
REQUEST TO SPEAK
Providing the following information is strictly voluntary. Only your name will appear in the
official Minutes of this Fleeting. The other information may be used by staff to contact you.
Please complete and submit this form to the City Clerk/Recording Secretary.
........ 1111 ., .1.1..11.. ,,. ,..,1111, ,,...,..,
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AGENDA ITEM NO. PUBLIC INPUT ❑
IN FAVOR OR OPPOSITION F TO MATTER? TODAY DATE
I
NAME ((-Yl,f1�,z ORGANIZATION � � �
.... � ,
(if applicable)
HOMEtWORK ADDRESS CITY/ZIP CODE
FIOPtidIEAWORNt PHONE NO. E-MAIL ADDRESS
(please indicate one)
CITY OF 'T uST'II I
REQUEST TO SPEAK
Providing the following information is strictly voluntary, Only your name will appear in the
official Minutes of this Meeting. The ether information may be used by staff to contact you.
Please complete and submit this form to the City ClerkJRecording Secretary,
AGENDA ITEM NO PUBLIC INPUT �
IN! FAVOR❑OR OPPOSITIONQ MATTER? TODAYDATE,
---- -,
NAME ,, ORGANIZATION
('if applicable)
HOMEPNORK ADDRESS —CITY/ZIP CODE,
HOME1WORK PHONE Nd ?" " E-M:IAwIL ADDRESS
(please indicate one)
CITY OF TI STIN
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. PUBLIC! INPUT
IN FAVOR [:] OR OPPOSITION TO MAT-TER? TODAYS DATE.
NAME ORGANIZATION Cq r�
(if applicable)
HOME/WORK ADDRESS CITY/ZIP CODE
HOMEIWORK PHONE NO, E-MAIL ADDRESS
(please Indicate one)
0
CITY OF TuST�IN
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 ..............4� PUBLIC INPUT
......................
IN FAVOTO'& OPPOSITION E]TO MATTER? TODAY'S DATE
NAM, -ORGANIZATION
(if applicable)
HOME/WORK ADDRESS CITY/ZIP CODE,. Nf C
HOMEtW'ORK PHONE NO. ADDRESS
(please ind!icate one)
. CITE" 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 farm to the Laity Clerk/Recording Secretary.
...........
AGENDA ITEM NO. � PUBLIC INPUT 0
.., ......... --
IN FAV C1'R OR OPPOSITION TO MATTER? TODAY'S DATE
RAhII?ATIII 'N
NAME
(if applicable)
HOME/WORKHOME/WORK ADDRESS
CITY/ZIP CODE
HOME/WORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
CITY OF TU�STIN
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 compllete and Submit this form to the City Clerk/Recording Secretary.
.................................. ........... ..........................
AGENDA ITEM NO. C9 fA PUBLIC INPUT 0
.............. .......... ................... ...............
IN_ A" ll OR OPPOSITION F] TO MATTER? TODAY'S DATE T)
NAME -ORGANIZATION
(if applicable)
00,26M I' I ^ SC4 100-S CV
HIIO,MEIWORK ADDRESS CITY/ZIP CODE
HOMEtWORK PHONE NO. 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. PUBLIC INPUT
......................... .........
IN FAVOR OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME
ORGANIZATlONCWe41bV1
(if applicable)
HOME/WORK ADDRESS
E-M Al L A D D R E S
(please indicate one) 11
CITE' OF T STIN
r
t
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. PU13LIC INPUT
IN FAVOR Ej CFI OPPOSITION;! ,TO ATTER? TODAY'S DATE
ra �
NAME
("Mf applicable)
N'N3IldIEt7Rl4 ADDRESS
dNTYIP wvC7CfE ',
H IN PHONENANO. � . � � � IHIL e�C DRE
Vas2lndicate orae)
1
CITY OF T STI !
I
q
REQUEST TO SPEAK
ry
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 Nod.JV " PUBLIC INPUT
IN FAVOR El OR OPPOSITION ' TO MATTER? TODAY`$ DATE 2-2 If, _. .
NAME tj ORGANIZATION
(if applicable)
HOME/WORK ADDRESS � "' � , CITY IP CODE "
HOME/WORK PHONE NO. " E-MAIL ADDRESS
(please indicate cane) � ��