HomeMy WebLinkAboutSPEAKER FORMS 10-17-05
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.
IN FAVOR ~ OPPOSITION 0 T::=:~':~"""""--"""""--~:::~::~ATE / 7~"¿¡- L/ -> ~
NAME 13;//(/ .c.. HflLL- ORGANIZATION/(J<;TI;JJJ-¡J/JE~Ié//,u
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L"uCITY/ZIP CODE í?J .5"Ir,A.) '72. 79" ð
HOME/WORK PHONE NO.
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AGENDA ITEM NO. 0-
PUBLIC INPUT
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 ~
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME 1?d eJ Ù ~ elL
TODAY'S DATE
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HOME/WORK ADDRESS /.. ..
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ORGANIZATION {Ps"F
(If applicable)
CITYIZIP CODE
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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 complete and submit this form to the City Clerk/Recording Secretary.
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......................-................
....................-......-...-...............-.....
ORGANIZATION
(if applicable)
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME .51e.V("" ÝO~/I/~
TODAY'S DATE
HOME/WORK ADDRESS CITYIZIP CODE
HOME/WORK PHONE NO. E-MAIL ADDRESS
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