HomeMy WebLinkAboutSPEAKER FORMS 08-01-05
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.
............................................
AGENDA ITEM NO. 0 -
IN FAVOR 0 OR OPPOSITION
NAME ~
HOMEIWORK ADDRESS ~ \~
HOMEIWORK PHONE NO.7
(please indicate one) / .
PUBLIC INPUT 0
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TODAY'S DATE
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ORGANIZATION ~
(if applicable)
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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.
AGENDA ITEM NO. 0-
PUBLIC INPUT ~
.................................................
........................................
NAME
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TODAY'S DATE
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IN FAVOR ~OPPOSITION 0 TO MATTER?
HOMEIWORK ADDRESS
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HOMEIWORK PHONE NO.
(please indicate one)
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 0 OR OPPOSITION 0 TO MATTER?
NAME /*-f¡¿'/J;;J.f~1 He.:Jl"sl
TODAY'S DATE
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,
HOMEIWORK ADDRESS /~/
HOM~PHONENO.
(please indicate one)
ORGANIZATION ac. ~/ PItS!.
(if applicable)
CITY/ZIP CODE f;;WN,.~ CA 4fZF4;1
E-MAIL