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HomeMy WebLinkAboutSPEAKER FORMS 05-01-06CITY 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. ❑ b °'� PUBLIC INPUT IN FAVOR OR OPPOSITION TO MATTER? `TODAY'S DATE NAME HOMEIWORK PHONE NO. E-MAIL ADDRESS. (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. PUBLIC INPUT ❑ IN FAVOR ❑ OR OPPOSITION O MATTER? TODAY'S DATE NAMEORGANIZATION CJs OL `� n � CODE HOMENVORK PHONE N0. MAIL ADDRESS � CITY OF TUSTEN 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. ❑ PUBLIC INPUT ❑ IN FAVOR ❑ OR OPPOSITION14TO MATTER? TODAY'S NAME LSA\kl M . Lr, I j JS t�v Co Lr,-rk,, (if applicable) n 2( ,j L)S ADDRESS { CITY/ZIPCODE <-v,,,,4(, Ace, 9i HOME/WORK PHONE NO. E-MAIL ADDRESS (please indicate one) QTY 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. _ _......... y�--.............. _..... AGENDA ITEM NO. El PUBLIC INPUT W IN FAVOR ❑ OR OPPOSITION XTO MATTER? TODAY'S DATE S'-,71-200-6 NAME E3 erk lee, Ajauo n. ORGANIZATION h✓ o t - (if applicable) HOMEMM ADDRESS CITY/ZIP CODE 4,z7s-z) HOMEWORK PHONE NO. E-MAIL ADDRESS (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. ❑ 1 PUBLIC IN FAVOR ❑ OR OPPOSITION -,.TO MATTER? TODAY'S DATE 0 5 — 4,-/ 6( NAME (if applicable) E CITY/ZIP CODE 9.a7 o 5r HOMEIWORK PHONE NO. E-MAIL ADDRESS (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. ¢I PUBLIC INPUT ❑ IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S NAME (rJ30a(AE ORGANIZATION CITY/ZIP CODE�11 N )RK PHONE NO. E-MAIL ADDRESS 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. ❑ l PUBLIC INPUT IN FAVOR R OPPOSITION TO MATTER? TODAY'S DATE y NAME �ORGANIZATION "^ (if applicable) HOMEIWORK ADDRESS CITY/ZIPCODE1 9�7ns HOMENVORK PHONE NO. E-MAIL ADDRESS (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. ip PUBLIC INPUT ❑ IN FAVOR ❑ OR OPPOSITION TO MATTER? TODAY'S DATE NAME �� l' 1 V 1 S LA/ ORGANIZATION &.n CITY2IP CODE HOMEtWORK PHONE NO. E-MAIL ADDRESS (please indicate one) CITY OF TuSTIN 1/ 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. ❑ , PUBLIC INPUT ❑ IN FAVOR ❑ OR OPPOSITION 2/TO MATTER? TODAY'S DATE NAME �e ORGANIZATION (if applicable) n ` HOMEWORK ADDRESS ITY21P CODE / (please indicate one) CITY OF TuSTIN REQUEST TO SPEAK You{ vtro �- 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. ®--I— PUBLIC INPUT ❑ IN FAVOR ❑ OR OPPOSITION 7O MATTER? TODAY'S DATE NAME T7C` t ORGANIZATION , ��% CITYIZIP CODE / ? 7 (/� (please indicate one) C[TY OF TuSTEN 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. .......... _ _....._.......... _—_ _._.._..__.._....__.._................. .... ----_.._.....-- -At AGENDA ITEM NO4V-L_ PUBLIC INPUTX IN FAVOR ❑ OR OPPOSITION;�TO MATTER? TODAY'S DATE �/�C NAME f✓ ' (if applicable) / - HOME/11INKADDRESS / ZIP CODE XI 7 F"b MOMEAMW PHONE NO. 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. __..--.................................................. _..__._....._...._..._......_...._...._.._..-----....---.__._...._. .......... -... I ......... ..... _._._..._ AGENDA ITEM NO. 4 PUBLIC INPUT IN FAVOR ❑ OR OPPOSITION ff m MATTER? TODAY'S DATE P O NAME -JAMS V7T<I,USbN ORGANIZATION CITY/ZIPCODE --rGS7T'V OME ORK PHONE NO. E-MAIL ADDRESS (p ease 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. © PUBLIC INPUT ❑ IN FAVOR ❑ OR /PPOSITION + O MATTER? TODAY'S DATE NAME 1 ! d \ ORGANIZATION / (if applicable) HOMENVORK ADDRESS CITYZZIP CODE 7& HOMENVORK PHONE NO. E-MAIL ADDRESS (please indicate one) CITY OF TUSTIN SPEAKER'S FORM IF YOU WISH TO SPEAK TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY, PLEASE COMPLETE THIS FORM AND SUBMIT TO THE CITY CLERK PRIOR TO SPEAKING. COMPLETION OF THIS FORM IS NOT MANDATORY, BUT IS REQUESTED SO THAT SPEAKERS' NAMES CAN BE ACCURATELY SET FORTH IN THE MINUTES. THANK YOU FOR YOUR COOPERATION. PLEASE PRINT: Name: Address: City: ( S ( I LI Telephone Number: /` (\\ Regarding Subject or Agenda Item NoCh f 6co-rE OF i?5---CC)6nUf Zcc,U Are you speaking in favor or in opposition to this matter? Name of company or group you are representing (if applicable): -Tb s- (r ( pa f 7cf Date of City Council/Redevelopment Meeting: CITY OF TUSTIN • SPEAKER'S FORM IF YOU WISH TO SPEAK TO THE CITY COUNCIL OR REDEVELOPMENT AGENCY, PLEASE COMPLETE THIS FORM AND SUBMIT TO THE CITY CLERK PRIOR TO SPEAKING. COMPLETION OF THIS FORM IS NOT MANDATORY, BUT IS REQUESTED SO THAT SPEAKERS' NAMES CAN BE ACCURATELY SET FORTH IN THE MINUTES. THANK YOU FOR YOUR COOPERATION. PLEASE PRINT: Name: �(ar� LIvIn Co%{ p — Ytct Pr(-St�e4A T�I+c,H Address: City: �yGhr G �a Telephone Number: :) Regarding Subject or Agenda Item No. P 00 I I (6YVt/Yh�'h Are you speaking in favor or in opposition Name of company or group you are representing (if applicable): Date of City Council/Redevelopment Meeting: to this matter?