HomeMy WebLinkAboutSPEAKER FORMS 10-04-04
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 INPUT 0
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME -Px:h f'ÍAc-fjAi)4
HOME/WORK ADDRESS
(please indicate one)
TODAY'S DATE (9f t.f I 0 c.f
ORGANIZATION í- c? $, P
(if applicable)
~v7~
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 0 OR OPPOSITION D TO MATTER?
TODAY'S DATE
It) /¿¡ !ð 'I
NAME
ÚÀ-, p~ ~ Q}Aóh-< .
ORGANIZATION
(if applicable)
CITY/ZIP CODE s: A .
'ìtL:¡'OŠ
HOME/WORKADDRESS /:
(please indicate one)
E-MAIL ADDRESS ..