HomeMy WebLinkAbout4-24-18 SPEAKER FORMS ............................. ... .............................
CITYOF TuSTIN
REQUEST TO SPEAK
Providing the following information is strictly voluntary. onty''yolur name will appear in the
official Mithis,Meeting. The other information may be used by,staffto contact you.
Please complete and submitthis,f6mito the City Clerk/Recording Secretary.
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AGENDA IT 'M NO. 0 PUBLIC INPUTe
IN FAVOR Ij �OR OPPOSITION[]TO MATTER? TO DAY'S, DATE
NAME "VI:?' ORGANIZATION
(if applicable)
HOME/WORKADDRESS CITY/ZIP CODE (
H01MEIWORK, PHONE E-MAILADDRESS
----------
(please indicate one)
..... ....................
Ci'T Y OF T USTIIN
REQUEST TO SPEAK
Providing the following infon-natlion is,strictly voluntary. Only your name will appearin the
offidal Minutes of this Meeting. The other information may be used by,stalff to contact YOU.
Please complete and submit this form to the City Clerk/Recording Secretary.
..........
AGENDA ITEM' ',NO. 0 PUBLIC INPUT 0
..... . .....
OR, TODAY'S DATE
INFAV ,,kO,RO,PP,O,S�TION[:]TOM,A,TTER#?
1 00, ey
NAME ;o, ORGAINIZATION
(if applicable)
'
(please III icate one)
............
CITY OF TUST11q
REQUEST TO SPEAK
Providing the following information is strictly voluntary. Only your name viii appear in the
official Min utes of this fleeting. The other information may be used by staff to contact you.
Please complete and aubrnit this form to the City Clerk/Recording Secretary.
AGENDA ITEC !NO.IZPUBLIC INPUT 1Z
April 24,, 201
IN FAVOR[] R OPPOSITION if TO RATTER? MEETING DATE
Pam Neil Not Applicable
NAME ORGANIZATION
if applicable)
�1I1�E1R� PHONE I'1 E-MAIL ADDRESS„
(Please indlt orae)
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CITY OF, u TIN
R"OUP'ST TO SPEAK,
t t:
P,r,ovid"ln�g ,thle ,fo,ilowing information "is strictly voluntary, Only your name will appear in the,
off icial Minutes of this, Meeting. The other informaltion may, be used by staff to contact you.
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Please complete and s, bmit this formlo the Ofty Clerk/RlecoM*ng Secretary.
AGENDA,ITEM NO., 0 PUBLIC INPUT' lY
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IN FAVOR [JOR OPPOSITIONE] TO MATTER? Ti DIY DATE
NAME ORGANIZATION
(if applicable)
HOME/WORK ADDIRESS, DE
CITY/ZlIP CO
HOME/W'OR'K PHONE N01. El-MAlL ADDRESS
(please,indicate one)
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CITYOF TOSTIN
REQUESTTO SPEAK
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Providing thllowi , information is strictly voluintary,,, Only i l l appear, in the
off'IcIal Minutes f this Meeting. The, then Informat'lon may be, us,ed by staffcontact
Please complete and smthis form tothe City Clerk/Recording Secretary. �
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AGENDA ITEM NO.
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IN FAVOR O ITION TO MATTER? TODATS DATE
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NAME ORGANIZATION
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HOMEMORK PHONE NO. E-MAIL ADDRESSI
(please, i to n
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REQUEST T0 ,SPEAK
Providingthe following Information 'is strlctly,voluntafy,,, Onty,your niame,will appear in the
off licial, M11"nutes of,this Meeting. The other information may be used by staff to contact you,
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Please complete and submit this forteto h X11 y ClerklRecording Secy tory.
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AGENDA ITEM NO., P'UBL'IC INPUT4
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IN FAVOREJ OR
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OPPOSITIONT
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NAME l O GAN] iAT
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I M :.. K,ADDRESS Ii.. � CITYMP,
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CITY OF TuSTIN
REQUEST Twb
d if
OSPEAK
Prolviding the following information is strictly voluntary. Only your name will appear in the
official Minuties oeeting. The other informatijon rn,ay be, used by stio contact you.
i
is, ity Clerk/Recording Secretary.form to the Ci
Please, completle and submit th
AGENDA ITEM NO. 0 PUBLIC INPU
IN FAVOR OR,OPPOSITION E]TO MATTER? TOIDAYS DATEII,
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4
NAME Gjl! c
(if applicable)
HOMEMORK ADDRESS C,[T'Y/;!'IP,COIDE
HOM'E/W",OR,K PHONE NO. E-MAIL ADDRESS,
(please,indicate one)
--------------
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CITY OF TusTw
REQUEST TO SPEAK
Providing the following Information is strictly voluntary. Only your name will appear in the
official Min ut s of this[ l etn . The other inform ation may be used by staff to contact you
Please complete and submit this form to the City Clerk/Recording Secretary.
AGENDA ITEM NO.❑ 4 PUBLIC INPUT 9F
April 24
IN FAVOR[I OR oPP sm[ON J§To MATTER' MEETING DATE
Gwen Diasters Scooters Mailbox Crds & Gifu
NAME ORGANIZATION
(if applicable
Ho1E1wRF PHONE[1� E-MAIL JaI� RE�
(please Indicate one)
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} F CITY OF TusTiN
REQUEST TSPEAK
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Providing the fol Iovong information is strictly prof untary. On ly your name will appear in the
official Minutes of this Meeting. The other Information may be used by staff to contactou.
Please complete and submit thi form to the City Cler lRe ording Secretary.
AGENDA ITEM NO.E3 4 PUBLIC INPUT 19
April 24
N FAVOR[I OR OPPOSITION TO MATTER? MEETING DATE
Mark Masters Scooters Mailbox rd Gifts
NAME ORGANIZATION
if applicable)
RMEIlR
F�oMl1� R PHONE[ E-MAIL ADDRESS _
PIe ,Indicate one) .
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I. REQUEST TO SPEAK
Providing tie follow"Ing,information is stricvY v�olunt,ary. Only your name will appear in the
official, Minutes,of ths Meeting. The other inforrnation may be used by staff to contact you.
Please complete andsubmit this,form tothe City ClerklRecording Secretary.
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AGENDA,ITEM NO. 0 PUBLIC INPUT,W'
IN FAVOR OR TION OTO MATTER? TODAYS DATE"
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OPPOSI �411.
ORGANIZATION
NAME
(if applicable)
HOMEf'WORK ADDRESS CITY ZIP CODE
HOMEWORK PHONE NO. E-MAIL ADE S6
(please,indlicate one.
..........
CITY OF, TUSTIN
REQUEST TSO SPEAK
Providing the following inflormat is strictly voluntary. Only your name,will appear in thie
o I i
,ff"cial Minutes of this, Meetng. The other Information may be used by,staff to contact you:.,
Please complete and submit this form,to the City Cl *ng ,Secretary',
........... ........ ................ ......
AGENDA ITS NO PUBLIC INPUTO
..............
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IN FAVOR OR,OPPOSITION (n!TO MATTER? TODAYS DAT E' �
NAME 6, 11 ORGANIZATION
.................................................
(if applicable)
HOMEIWORK ADDRESS CITY/ZIP CODE
E-MAIL ADDRESS
( tease indicate one)
p
CITY OF TUSTIN
REQUEST TOit
, SPEAK
Providing the f0lowing informatlon is,stoic ty voluntary, Only,your name will appear in the
offlei al Minutes of this Meeting. 'The other information,may,be used by,staff to contact you.
P
/Recording Secretary.
'or�m to the Ci Clerk lease completeand submit this�f
AGENDA ITEM NO. PUBLIC INPUT 0
IN
TO MATTER? TODAYS DATE � �� �
FAVOR, OR OPPOSITION
F
,"
lei I , ORGANIZATION
NAME eJ4, li,�t
(ffapplicable)
HOMENVORK ADDRESS TY/ZJP COIDE
HOMEWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
A u TOSTIN
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r
REQUEST, 'TO SPEAK
1
I
Pdi"n i the following information s strictly'voluntiary, Only yourniam,e will appear, in the
offitial Minutes of-this, Meeting, The other informati"on may be used by staff'to, contact you,
Please complete and submit this fo,� '� C����� ClI� eco "inSecretary.
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AGENDA ITEM O. 0 PUBLIC INPUT0
INFAVOR
OR OPPOSITION TOMATTER? TODAY'S, DAT E
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ORGANIZATION
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O,.R ADDRESS CtTY/,ZIP COIF
HOMEM
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(please indite ,on
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TO SPEAK'
Providing the �f�o,i�low,"I'ng' 'l*nform,at,*ion Is, strictly voluntary. Only your, name will appear In the
off
The, t
oher, informiation may be used by staff,to, contact,you.ictal Minutes of this, Meeting.
Please complete and subm"t this,form to the Cly Clerk'Record n Secretary.
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AGENDA ITEM NO., PUBLIC INPUT 0
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IN FAVOR EJ OR OPPOSITION/&TO, MATTER? TODAY'S DATE
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N AM E, SANIZATION
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(If applicable)
HOME/WORK AIDD�,RESS - -ClTY/ZlP CODE
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(please indicate one)
.........................
CtTy oF TuSTINI
REQUEST TO SPEAK
Pr
oviding he followinglinformabon is
Aly voluntary,., Only your name, will appear, in the tstric ,
off'"Icial 101"'nutes of this Meeting., The other information may be used by staff to contact you,
Please complete, and submift this formto the Cicy Clerk/13'ecording Se cretary,
.................. ....... ........... ......
AGENDA ITEM NO., 0 PUBLIC INPUT
..............
IN FAVOR, ,OR"OPPOSITION TO,M�ATTERI? TODAY'S, DATE
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NAME ORGANIZATION
WIN (If applicable),
CITYIZIP,C01DE
HOMEANARK PHONE NO. E-MAIL ADDRESS,
(please indicate olee)
CITYOF TuSTINI
REQUEST TO SPEAK
Providing the following information is strictly voluntary,,, Only your name will appear M the
official Minutes is Meeting., The otherinformiation may be used by,staffto,contact you.,
Please,complete and submit this fog m to the City C lerk/Relcord"Ing Secretary.
AGENDA.ITEM NO.,0 PUBLIC INPUiT 0
IN FAVOR El OR,OPPOSITION 0 TO,MATTER? TODAYS DATE
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NAME ORGANIZATION
(if applicable)
HOMEANORK ADDRESS,
(please,indicate,one)
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REQUEST TO SPEAKI
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the o' ongmts strictly vj ug � l in the
official Minutes this Meeting. �� hn � on may beused by staff cntc�,you.
WOW
l i ,4Cierk/Reclording Secretary.
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IN FAVOR OPPOSITION TO ? TODAYS, DATE
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NAME ORGANIZATION
(if applicable)
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HOMEMORK ADDRESS CITYMP,CODE
(please indicate
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