HomeMy WebLinkAboutSPEAKER FORMS 02-07-05
CITY OF TUSTIN
I
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 ClerkfRecording Secretary.
AGENDA ITEM NO. ~ ~
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TODAY'S DATE
E-MAIL ADDRESS
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HOMEIWORK PHONE I
(please indicate one)
CITY/ZIP CODE
CITY OF TUSTIN
I
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 ClerkfRecording Secretary.
................................................................................... .................................................................................................... .......... ...........
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER? TODAY'S DATE ~ /7 JOb
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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.
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IN FAVOR þ(OR OPPOSITION 0 TO MATTER?
NAME -~~.L... ~\^oð """'\ Gt_--,
HOMEIWORK ADDRESS ' """
HOMEIWORK PHONE N
(please indicate one)
TODAY'S DATE
ORGANIZATION ~,^II\Av'. ~6\. t.I\.t". P. ~.
(if applicable)
CITY/ZIP CODE A\~t6 \J~.
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.
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PUBLIC INPUT %
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AGENDA ITEM NO. 0-
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
TODAY'SDATE ;2- 7- oS'
NAME L Cl r Ý' y Or 0 t> J:. ç ORGANIZATION .No)J€'..
'" CITY/ZIP CODE /V5-í/N ea
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(please indicate one)
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