HomeMy WebLinkAboutSPEAKER FORMS ITEM #2 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 maybe used by staff to contact you.
Please complete and submit this form to the City Clerk/Recordling Secretary.
AGENDA ITEM NO. 0 PU,BLIC INPUT 0
IN FAVOR OR OPPOSITION[:1 TO MATTER? TODAY'SDATE
NAME
ORGANIZATION �t,&NoAt\( S
(if applicable)
HOMENVORK ADDRESS �-
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
officiall Minutes of this Meeting, The other information may be used by staff to contact you..
Please complete and submit this form to the City ierk/Recording Secretary,
AGENDA ITEM NO. � PUBLIC INPUT I
IN FAVO R i OPPO ION El TO MATTER? TODAY' DATE
NAME t w � ORGANIZATION
(if applicable)
HOME/WORK ADDRESS
CITY/ZIP BODE
HOME/WORK PHONE NO. �' ,, ." E-MAIL ADDRESSfm' '
(please indicate one)
CITY OF TuSTIN
RE U'EST 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,
AOENIDA ITEM NO. k, PUBLIC INPUT C]
IN FAV0RjZqR OPPOSITION El TO MATTER? TODAY'S DATE
NAME ' "d 11 - Wy .
O(if apI ORGANIZATION d a ¢�I?0111,,
cif'afap�cabNe��
HOME/WORK ADDRESS
HOMEIWORK PHONE NO1 ! "� .:��° � �� � E-MAIL ADDRESS
(please indicate one)