HomeMy WebLinkAboutSPEAKER FORMS 09-06-05
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.
AGENDA ITEM NO. 0-
PUBLIC INPUT 0
IN FAVOR 0 OR OPPOSITION 0 TO MATTER? TODAY'S DATE
NAME DI/17 ¿ /lflL--L ORGANIZATION /v5+//¡j Vt//IMF- I éJ {~
(if applicable) ~
HOMEIWORK ADDRESS /.. CITY/ZIP CODE TV57i1/ 92¿ðÐ
~ORK PHONE NO. ~ ? 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.
m....J~.~m...m....m..m_..... ....0000...00.
AGENDA ITEM NO. 0 -
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME ~~~ i fìU1~
HOME/WORK ADDRESS / ~ ~
HOME/WORK PHONE
(please indicate one)
PUBLIC INPUT 0
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TODAY'S DATE ~/~/ rJ .,,-
ORGANIZATION
(if applicable)
CITY/ZIPCODE ~/r......1~7tcJ
E-MAIL ADDRESS tJ/~
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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 /if
.......................................
....................................
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
TODAY'S DATE C¡.6 -0..::::'
NAME 1'1/<2..tlA£.L SH~bE.. ORGANIZATION =rpoA
(If applicable)
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E-MAIL ADDRESS
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(please indicate one)
HOME/WORKPHONE
(please indicate one)
E-MAIL ADDRESS f/l~
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CITY OF TUSTIN
v
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.
...............-................"-'....................'"_".00............'.............".....
.....,.._.0000...0000..,.00_......00.00........."...'.._..'.
AGENDA ITEM NO. 0-
PUBLIC INPUT 0
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HOME/WORK PHONE NO.
(please indicate one)
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ORGANIZATION
(if applicable)
TYIZIPCODE f¡¡~' q~t:,~O
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME ~~ iF ~ 0
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HOME/WORK ADDRESS
CITY OF TUSTIN
v
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.
Piease complete and submit this form to the City Clerk/Recording Secretary.
..............".-",.......................-'.'-""-.'...........
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
TODAY'S DATE
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NAME FÜfA la
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(if applicable)
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HOME/WORK 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 compiete and submit this form to the City Clerk/Recording Secretary.
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NAME
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TODAY'S DATE
ORGANIZATION
(if applicable)
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