HomeMy WebLinkAboutSPEAKER FORMS 06-06-05
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.
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AGENDA ITEM NO. 0-
PUBLIC INPUT 0
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ORGANIZATION ~ LEbIO/ '!}JA.t-f
(if applicable)
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HOMEIWORK PHONE I ~ ß~ 7'Zr!.
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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 -
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PUBLIC INPUT 0
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HOME/WORK PHONE NO.
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TODAY'S DATE G / t;J /05
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ORGANIZATION --r u££i.A;)J rtM ..t~~
(if applicable) ~W¡)Mr
CITYIZIP CODE Íak C¡',J 7~o
E-MAIL ADDRESS
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.
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AGENDA ITEM NO. r¡¡t7 .-1!:1.-
PUBLIC INPUT 0
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IN FAVOR [rl'bR OPPOSITION 0 TO MATTER?
TODAY'S DATE
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rHo~'ORK PHONE NO. ¡, E-MAIL ADDRESS
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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.
~~~~~~1~=~~~:1::]-/1......... PUBLIC INPUT 0
IN FAVOR ~R OPPOSITION 0 TO MATTER? TODAY'S DATE {:;;r J AI é tU ~
NAME B / II V! r )//f¿L ORGANIZATION fJlPÈæ/t/J-fiJ ft?&-tJ:V
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CAiITYIZIPCODE 7¿.J,"')//"J CIJ- 7'
HOMEIWORK PHONE NO.
(please indicate one)
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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AGENDA ITEM NO. 0-
PUBLIC INPUT 0
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME ~~ l tv c:. íJ J.V'V\t::. 1
TODAY'S DATE
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ORGANIZATION ~ \Ll if'J'::,<:;...{\ ° ".)).. ') P
(ifapplicable) .
HOMEIWORK ADDRESS \ " -( /_CITYIZIP CODE """f \)J'V, 1\ ) "\ ).}\, ~ !)
HOMEIWORK PHONE NO. ~ () ¡}E-MAIL ADDRESS
(please indicate one) .