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HomeMy WebLinkAboutSPEAKER FORMS 06-05-06 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. J:LtLI.t...$...tl..lr.f...._....M...........m......................._............._.m......._.........._.._.. AGENDA ITEM NO. 0 PUBLIC INPUT 0 ...___.__..........._...._w......"..........._..____..__.............____..__..............__.___...._....__...____......._...._.............-....... IN FAVOR 0 OR OPPOSITION 121 TO MATTER? TODAY'S DATE (,-j-O ~ NAME If }J I fI 0 IJ Y T /? U 3' ILL 0 ORGANIZATION ( (if applicable) HOME/WORK ADDRESS CODE r USn N '1 2. 7'1 V HOMEM'8RJ('PHONE No. MAJL ADDRESS (please Indicate one) (euo 8leolpu! e58eld) SS3)JCC'V 11'VW- 'ON 3NOHd )l)JOMl3WOH J[1 b fV J/~ JV 3COO d1ZlA.110 / SS3)JCC'V )l)JOMl3WOH (elQeolldde II) . NOI.L'VZIN'V~)JO g /-. Ilk; /J () ;V 0([ 3W'VN / ~ ! /: <} c::? \'/7 3.L'VC S,A'VCO.L (.)J311'VW O.L~ NOI.LISOddO)JO 0 )JOA'V:! NI .......----.-.....-D~~~.~;;.;~~~~-..-.-..--.--Z}-D....-~~.~~.~;.;~~~;;---------. ',{jel9J:l9g BU!pJO:l9~f)lJ91~ ~o 911l Ol WJOl S!lIll!wqns pue 9l91dWO:l 9se91d 'no.< l:l8lUO:l OJ UelS .<q p9sn aq .<ew uOlleWJolU! J911l0 911.1 "BU!l99W SIIIllO S9JnU!W le!:l!UO 911l U! Je9dde 11IM 9WeU Jno.< '<IUQ ',{jelUnIO^ '<1l:l!JlS S! UO!leWJOlUI BUIMOIIOl911l BU!P!^OJd Nllsnl :1,0 A.L13 )I'lf3dS OllS3n03~ 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. .........---..-............................................--..........----..................-.........."............--....-.............----.--......----........-....-..- ...-.-.-~..~~~~~..~:E~~.~:...~--/l..-.....~~~~I.~~~~:...~................_.............. IN FAVOR D OR OPPOSITION ~TO MATTER? TO DAY'S DATE 6 ~ h - de; z-:-: /-;".-- ';7 L-::-- -t7lcZ /L:-ORGANIZATION - / (If applicable) HOMElWORK ADDRESS / ; <CITYIZIP CODE i//;{/ 7"'/; f) "- HOME. 1: PII9NE NO. ' ( E-MAIL ADDRESS (please Indicate one) NAME [/~ /;> '7.';; 7Y/!3 'jz7o {. , I I