HomeMy WebLinkAboutSPEAKER FORMS 04-17-06
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. if ,q PUBLIC INPUT 0
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER? TODAY'S DATE '-f. /1- {}6
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NAME ciA 1\ /tIt! c;.0 k.' c2LJ-A- ORGANIZATION 7)-4/L O.J "'~ Q <}v
(if applicable) / q-
HOMElWORKADDRESsl7/ ' ~ CITYIZIPCODE ~~~ C!..4 '7d-;<< 5-
HOMElWORK PHONE NO.
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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 '!;::v
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
TODAY'S DATE
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NAME ~'~\a.~ R, (\\\\l~ ORGANIZATION.~~VC~'S \. ~~h
<<' (Ifapplicable) 0 ~ :L'-1 \J <;1::.)' ~ Ole. <:::. '"
HOMEIWORKADDRESS . d
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HOMElWORK PHONE NO. ~ ( ~ E-MAIL ADDRESS ~
(please indicate one)
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I
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. ~ 2/)
PUBLIC INPUT 0
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME 'K~fVY) ~
HOMElWORK ADDRESS
HOMElWORK PHONE NO.
(please indicate one)
TODAY'S DATE
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ORGANIZATION
(If applicable)
CITYIZIP CODE, ~~ ;j/l'Lq) ~C\. >
E-MAIL ADDRESS