HomeMy WebLinkAboutSPEAKER FORMS 07-18-05
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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. D -
PUBLIC INPUT D
IN FAVOR D OR OPPOSITION D TO MATTER?
NAM
HOMEIWORK PHONE N°7
TODAY'S DATE
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ANIZATIO~~ V~
(if applicable) ~. .
CITY/ZIP CODE
CITY OF TUSTIN
REQUEST TO SPEAK
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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. D -
PUBLIC INPUT ~
IN FAVOR ~ OPPOSITION D TO MATTER?
TODAY'S DATE
NAME ~ I II, C- I-\-A L L
HOMEIWORKADDRESS ( CITY/ZIP CODE
HOMEIWORKPHONENO. ( ;» E-MAIL ADDRESS
(please indicate one)
ORGANIZATION
(if applicable)
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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. D -
PUBLIC INPUT Œ(
IN FAVOR D OR OPPOSITION D TO MATTER?
TODAY'S DATE
NAME
Je;:>;i-e
ORGANIZATION
(if applicable)
M-R.d....",,-
HOME/WORK ADDRESS
CITY/ZIP CODE
7/ /,j !¿? ~,
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HOME/WORK PHONE NO.
(please indicate one)
( E-MAIL ADDRESS ,