HomeMy WebLinkAboutSPEAKER FORMS 07-03-06
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.
........................--......................................-..-.....................('7..-.............-.-..................--.............................................
AGENDA ITEM NO. 0 L-- PUBLIC INPUT 0
IN FAVOR ~R OPPOSITION 0 TO MATTER?
NAME ~ 1{l~-rQ l <i10~ ~vC
HOMEIl(iORK ADDRESS
HOME/WORK PHONE No.
(pleas"e indicate one)
TODAY'S DATE It '3/ D0
ORGANIZATION k?V[ vt.4 vi'
(if applicable)
CITYIZIP CODE 4- ( !~)\Jl~
CITY OF TUSTIN
REQUEST TO SPEAK
Providing the foiiowlng 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. 0 PUBLIC INPUT IIJ...--"
IN FAVOR 0 OR OPPOSITION 0 TO MATTER? TODAY'S DATE
'AM' 6tfLt c /b& C-OR,::,!.~-r/l-M~{C#Al
HOMEIWORK ADDRESS / -~IP CODE iV 5/ /JJ
"..-
~ MAIL ADDRESS
,
HOMEIWORK PHONE NO.
(please indicate one)