HomeMy WebLinkAboutSPEAKER FORMS 'ITY OF TUSTIN
REQUEST TO SPEAK
Providing the following inferrrnabon 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.
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Tease complete and submit thus form to the City Cull rk/Recording Secretary.
AGENDA ITEM N6; � °" Pt1BLlC INPUT 0
IN FAVOR JR OPPOSITION E:1TJ MATTER? TODAY'SDATE
NAME ��" � ,, .� r � ORGANIZATION ��, �.� �r'�� rr � V?
(if applicable) .
HOME/WORK ADDRESS - C'lTYIZIP CODE
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HOMEIWORK PHONE No. E-MAILADDRESS
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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 foram to the CityClerk/Recording Secretary.
A EN Df A ITEM NO. 0 PUBLIC INPUT 0
lN FAVOR OR OPPOSITION TO MATTER? TODAY'S DATE
NAME `: u � �� ' y �� yy � �. s � ORGANIZATION
(if applicable)
HOMEIW RK ADDRESS CITYIZIP CODE
HOME/WORKcHI"•PHONE . E-MAIL ADDRESS ���
fp one)