HomeMy WebLinkAboutCesena, Dannie• 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. ❑ PU13LIC INPUT'1
......................................... ................. .................. ............................ _.... ................... ................................................. ............. ............................................. ...
IN FAVOR ❑ OR OPPOSITION [] TO MATTER? TODAY'S DATE L ��
NAMEQ11hr� ` ��� v� _ ORGANIZATION
jif applicable)
HOMEAVORK ADDRESS ZIP CODE
H ORK PHONE
E-MAIL ADDRESS �..
lease indicate one)