HomeMy WebLinkAboutSPEAKER FORMS 04-18-05
CITY OF TUSTIN
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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 ~
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HOMEIWORK PHONE E-MAIL ADDRESS
(please indicate one) .
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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.
AGENDA ITEM NO. 0 -
PUBLIC INPUT 0
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
TODAY'S DATE
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NAME
HOMEIWORK PHONE NO.
(please indicate one)
E-MAIL ADDRESS
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CITY OF TUSTIN
J
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)i(.
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
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TODAY'S DATE ~/B -05-
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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.
AGENDA ITEM NO. 0-
PUBLIC INPUT U
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
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HOMEIWORK PHONE NO. ( /
(please indicate one)
E-MAIL ADDRESS
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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.
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
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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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AGENDA ITEM NO. 0 - PUBLIC INPUT ¡;g
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ORGANIZATION
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HOMEIWORK PHONE NO.
(please indicate one)
E-MAIL ADDRESS