HomeMy WebLinkAboutSPEAKER FORMS 6-11-19 ............ ....................---------.....................................................
Oil CITuIs
TIN
REQUEST T SPEAK,
P ro vid n g�th e fo 1,1 owi ng i nfo,rm a tio n i s strictl y vo I u�n'ta ry, 0,n I y yo u r n a m e wil I a p pe a r i n th e
offillcial Minutes of this Meeting. The other informatJoin may be u by staff to contact you.,
Please complete,andl submit thisfog m to the Cfty Clerk/Reco rdin ecretary,,
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AGENDA ITEM NO, 13 IIINIRPUBLICINPUH 0�11111
,IN
FAVOR OR OPPOSITION TO MATTER?, DA MS,DATE,-40PI'llo?
NAME, ORGANIZATION
(if applicable)
..........
%�„/ � ,.,�,
H0MEMORK ADDRESS ' C[TY/ZIIP CODE
11V/ 11
HOMEMORK PHIONE NO.' E-MAIL ADDRESS
(please indicate,one)
OilCITY US IN
RE,QUEST TO SPEAK
n
Providing the following il form,afion,is,stnictly voluntary. Only YOUr name will appear in the
official Minutes this Meeting. The other information,may,be used by staff to,contact you.,
s—f r the Cfty,ClerklRecording Secretary.
Please,complete and sul
AGENDA ITE ko I PUBLIC INPUTO
IN FAVOR El OR OPPOSITION TO MATTER? TODAY S DATE
ORGANIZATION
NAME
(if applIcable)
HOMEMORK ADDRESS CODE
HOMEWORK'PRONE NO.
AIL,ADD
E-MRESS
.............— ............
(please indicate one)
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�1 TuSTIN
REQUEST TO SPEAK
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1�'I ,0
Providing the following inf rmation,is,strictly voiluntary,. Only your name will appear in the
I ormation may be used by Staff to cion'taict you'
official Minutes of th"s Meeting. The,other in�f
i
Please complete i this the Citylk/R . i c nary.
AG E N DA I'T'E N 4"" PUBLIC INPUITO
lei
IN FAVOR I POSITI � -T MATTER? TODAYS,DAT � „w � ,
NAME GRGANIZATION
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(if applicable)
�i� I EWORK ADDRESS
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'Deas Indicate one);
.......----------------------------
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TuSTIN
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REQUEST
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Providing the following in orm n is strictly voluntary,, Only your narrie will appear in the
offi
ciA t � � e �n "h other, or
n miat ion m used staff yin
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Please complete and submit this form to the City, Clea co ng Secretary.
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AGENDA,ITEM NO. 0 PUBLJC INPLIT
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IN FAVOR IPO STI ERI TODAYS DATE
AA
NAME ORGANIZATION
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�IjvClTYHOMEMORK ADDRESS
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OI � E-MAIL,ADDRESS
lease,indicate n �.
..............
CITY OF TuSTIN
REQUEST TO SPEAK
Providing the,following infomia,filon is strictly voluntary., Only your,name will appear in the,
offi
'tact yo,u c"al Minutes ofthis Meeting. The other information may be used bystaff�to con
, ,a , the Please complete,and submit,t?hi, the City,ClerklRecordingi Secretary.
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AGENDA I'TEM NO. PUBLIC INPUTIII
IN FAVORe, GR OPPOSITION Ej,TO MIAT TIER? TODAYS DAT'E
.......
NAME, ORGANIZATION
(if applicable)
H0,MENVORKADDRIESS, ITY/ZI I P C 0 D E
............
HO,ME/WORS,PHONE NO. <" E-MAIL ADDRIES$
(pilease indicate one)
CITYOF TuSTIN
�,M M�iw.�ia✓mw i
REQUEST TO SPEAK
Providing the,
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foillowing informia,tionits, st'rictily voluritary. Only,your namieill appear 'in the
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official Mlinuth Meeting. The other informationcontact
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complete and submit ithis form to the City Clierk/Riecording, Secretary.
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AGENDA,ITEM NO. PUBLICUBLI INPUTO
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IN FAVORRT106 TO, ER? TODATS DATA
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NAME ORGANIZAT,ION,
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HOMEMORK ADDRESS tiuuv
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NY� OM R ..PHONE NO. E-MjAIL ADDRESS `..
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(pleaseindicate to one
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--------------- ......
CITY OF TuSTIN
REQUEST TO, SPEAK
W
Providing the follo, ing informatioln is,strictly,voluntary. Only youir name will appear in the
o fficia 11 M in utes ofthis Meeting- The other info rm ation m ay,be used by st,aff to contact yo u.
Please complete an *Xf t,,o,,the,City Clerk/Recording Secretary.
AGEN�kITEM NO%,0 PUBLIC INPUT[]
IN FAVOR,n,00�OR OPPOSITION El,TO MATTER? TODAY DATE
NAME ORGANIZATION
cif 'plica'
HOME
E-MAL ADDRESS
(pleaseindicate
............
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CITY OF TuSTIN
yxo
laR,EIQU''irm
ST TO SPEAK
Providin
the follo,w'ing 'i'nfio,r,m�a,tl*lon is strictly voluntary. Only your name will appear in the
olff i ' Minutes this Meeting. The other 11*nfused you.,
completen form to,the, City Clerk/14jecord""ng Secretary.
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AGENDA,ITEPUBLIC INPUTO
h
N FAVOR OR OPPOSITION� TO MATTER?, TODAYS DT ,
NAM El ORGANIZATION,
(if applicalble),
CITY/ZIP
O O K E .
ease lindicate one
II
CITY uSTIN
QUI SPEAK
Providling the,following ifformation is st,,r,ii'c,'t,,I'Y'V"OlILintary'. Only,your name�mill appear in the
official Minutes of thils,Meeting The other,information may,be used by staff to contact yo I.,
Please com plete and submit this,form, City Clerk/Recording Secretary.
AGENDA ITEM N"'O., PUBLIC INPUT 0
...........
IN FAVOR OR OPPOSITION A�TOK�'ER? TODAYS DATE,—
NAME ORGANIZAT10N
Jif applicable)
(pleaseAndicate one)
......... .......
..........
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CITY OF, T STIN
REQUEST' 'TO SPEAK
Providithe following information,is strictly vowintary. Only your,name will,appear in the
offi
c 'o,c o nt,-c ct,you
iall Mlnutes ofthis Meetingr iri
. The othenf maton may be used by staff t, I
Please,complete and submiis foro the Cirk/Recorlding Secretary.
AGENDA IT _IC INPUTO
IN FAVOR D OR OPPOSRION T MATTER? TODAYS DATE
NAME LAVvy)"I'fk,4, ORGANIZATION
(Kapplicable)
HOMENVORK ADDRESS
E-MAIL ADDRESS
(please indicate oneI.
),
..........
------------------..................... .............. ..................
----------------
CITY OF TUSTIN
REQUES ' TO SPEAK
Providing the following inJon is Witty voluatary. Only,your nca
me will appear ini the
offlicial Minutes of this Meeling. The other information rnay be,useld by staff'to contact you.
Please complete and slubmit,this form t Cilty Clerk/Recording Secmtary.
AGENDA IT NO,., PUBLIC INPUT 0
ER?
IN FAVOR 0 OR OPPOSITIONI TO )kTT TODAYS DATE
NAME ORGANIZATION
(if applicable)
HK "
OMEWORADDR —,CITY/ZIP CODE
1-1101iiiii/lE/WORK E-MAIL,
(pilease'find licate,one),
---------
CITY OF, TIN
REQUESTTO SPEAK
Providing thefb4lowing information is strictly voluntary. Only,your,name will appear in the
official Minutes of this Meefing. The other informiation may be used by staff to contact you.,
Plewse clompleteand submit thisi rkiRerdirig Secretry.
...f6irm,to the its Clecoa
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AGENDA ITEM NO. PUBLIC INPUT)0E
1"77
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T �3.`7TO MATT E R"? TODYDATE N FAVOR, OR,OPPOSTION AS
C,
NAME� ORGANIZATION
(if applicabl,e)
HOMEMORK ADDRESS,
C1TY/ZI1P CODE
HOMEMORKPHONE Na. E-MAIL ADDRES,
(please indicate one)
------ ............
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CITY OF,
Tu,s,,T,`,1,,N
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REQUEST
SPEAK
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Providing o 611 i iina I Ir' is strictty,voluntary'. ily your name will,, appear W � n� he
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official
al iu s ` ,�i s tNl. e i I p 'The ott'
e I orilu
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be used s , cointacl you.
Please
G complete ,U+ po i'this 1 Clierx"Recording
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AGENDA IT"EM NO, PUBLIC INPUT G.(
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HOMEWORK
PHONE u ID n '
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fease Indicate