HomeMy WebLinkAboutSPEAKER FORMS 05-16-05
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.
................................
...... ..............................
PUBLIC INPUT (!("
AGENDA ITEM NO. 0-
..................................
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
TODAY'S DATE 6 - It - oS-
NAME
730iØ ¡'1I1J~ 6'¿/ L /£9
ORGANIZATION
(if applicable)
HOMEIWORK ADDRESS / ():!. CITY/ZIP CODE p-;'fíA/
. /
HOMEIWORK PHONE NO. " E.MAILADDRESS -.....,.-'
(please indicate one)
CITY OF TUSTIN
t/
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 g/
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME ffOW(~ 5""UðN16k
TODAY'S DATE
/
Jr(G -aJ
ORGANIZATION
(if applicable)
HOMEIWORK ADDRESS , ., CITY/ZIP CODE 1'-'£í'1 ¡.l q ~ 1 fb
/"
HO~IWORK PHONE NO.
(please Indicate one)
E-MAIL ADDRESS
~~~""--'k
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;&(
IN FAVOR'ßj OR OPPOSITION 0 TO MATTER? TODAY'S DATE ) - J ~ - O!::>-
/1/"/ L (29 rô/tJ Pas) ~2 '7
NAME /1'c.( /? I CI V /}/) () R To lý ORGANIZATION
(if applicable)
HOMEIWORKADDRESS CITY/ZIPCODE
C¡2-7~O
HOMEIWORK PHONE NO.
(please indicate one)
E-MAIL ADDRESo/Y1