HomeMy WebLinkAboutSPEAKER FORMS 06-19-06
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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 fonn to the City Clerk/Recording Secretary.
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
TODAY'S DATE fo/,dOcp
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ORGANIZATION~~ P4Ciff e.-
(if applicable)
NAME~UC6 IJe-l,..c.#
HOME/WORK ADDRESS
HOM~PHONE NO.
(PI~cate one)
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CITYIZIP CODE COf-l>.-.JA, cA- &fz tV'D
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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.
AGENDA ITEM NO. 0 PUBLIC INPUT rs;('
IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME~ A;;AI~
HOME/WORK ADDRESS / '
ZIP CODE
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E-MAIL ADDRESS
CITY OF TUSTIN
REQUEST TO SPEAK
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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. ~ /7
PUBLIC INPUT 0
IN FAVOR 0 OR OPPOSITION ~MATTER?
TODAY'S DATE
NAME tv ./J1~K CLF'SC/E
ORGANIZATION
(if applicable)
HOME/WORK ADDRESS /'
CITYIZIP CODE
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AN-I
/"'J,4'h
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.
.-.......................................................-.........................7............................-..-.-........-..-.........................-..-.-.......
AGENDA ITEM NO. Il1 /-1- PUBLIC INPUT D
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER? TODAY'S DATE ~I/ ~ h
NAME ;?J..e'J:.. /k/:uh____ ORGANIZATION ;:'/nr>::Y~
(if applicable)
HOMEIWORKADDRESS kC2ZIPCODE &1'?1 ~ 92~2;::;'
HOMEIWORK PHONE NO. M~
(please indicate one)