HomeMy WebLinkAboutSPEAKER FORMS 07-17-06
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.
....--..................-......--..-.--..---....---.................-..-..--......-.......--....--..---...--.-....e....-....--........-....---
AGENDA ITEM NO. 0 PUBLIC INPUT
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ORGANIZATION IU 5 h >?
(if applicable) ,
,
CITYIZIP CO~S h It
7/17 I () (0
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IN FAVOR 0 OR OPPOSITION 0 TO MATTER?
NAME_Hf.ir{/ &vOl A 11\
HOME/WORKADDRESSJyn
TODAY'S DATE
HOMEIWORK PHONE NO.
(please indicate one)
E-MAIL ADDRESS
CITY OF TUSTIN
REQUEST TO SPEAK
J
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 D
IN FAVOR D OR OPPOSITION D TO MATTER?
UMir}
TODAY'S DATE
NAME
J lt~btl7
HOMEIWORK ADDRESS <
E-MAIL ADDRESS
(please indicate one)
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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.
PUBLIC INPUT 0
NAME
ORGANIZATION
(if applicable)
1~7-gu
HOMEIWORK ADDRESS
CITY/ZIP CODE
HOMEIWORK PHONE NO.
(please indicate one)
E-MAIL ADDRESS
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. 9( ! d-- PUBLIC INPUT 0
---.................................................................{l;D.........-...........-...-.................................-............-...............-......
IN FAVOR 0 OR OPPOSITION TO MATTER? ./ ~AY'S DATE
NAME
'O/5C--
'
ORGANIZATION
(if applicable) ~
CITY/ZIP CODE --(;. , . ,;.
VA
1J-I
HOMEfWORK ADDRESS
HOME/WORK PHONE NO.
(pleas~ indicate one)
E-MAIL ADDRESS
CITY OF TUSTIN
v
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.
-.......... AG~~~~.I~~~~~.I?T:-r:.. ~~~.~~.~~~;.~...._.._......
'N,.~R~~:;:~:.~:~~:-rj1G:fv(o
NAME / /' , \L~ (. ,"-~' ORGANIZATION ~., ~I /7,
(if applicable) ~~ '-
HOMEIWORK ~~~ESS . CITY/ZIP CODE q 6. ') ill
HOMEIWORK 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.
....''......_____________..............______.................___"m.......___.........._..._.._....___.........._..............
AGENDA ITEM NO. 0 I 'L PUBLIC INPUT 0
IN FAVOR 0 OR OPPOSITION \Xl TO MATTER?
NAME --J;;U rt GL- E /2-
TODAY'S DATE
7-/7-010
HOMElWORK PHONE NO, (
(please Indicate one)
ORGANIZATION
(if applicable)
CITY/ZIPCODE I,) 57 )/1/, ci'i '/<: 7
E-MAIL ADDRESS-
CITY OF TUSTIN
L/
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.
.................-.-........-..-......--......---.-....--....-...................-......---..--------........---..........-.....
_____~~~N~~..~~:.M NO._~___._._....._.___ PUBLIC INPU~_~____~ 0~ 1,0(,,\
IN FAVOR 0 OR 02eQSITION 0 TO MATTE"Rn TODAY'S DATE 7 ,/ /11 Db
NAME b oh J\J A.) ,,^{
HOME/WORKADDRESS
HOME/WORK PHONE NO.
(please indicate one)
ORGANIZATION
(If applicable)
CITY/ZIP CODE tV dl ~ G q 2.. '7 80
E-MAIL ADDRESS .
CITY OF TUSTIN
i./"
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 0
,
IN FAVOR D OR OPPOSITION D TO MATTER? TODAY'S DATE...Ie( /"f 17 Cl6
NAME (JJ/ /trcrM L f.kJCkvtD~r-r ORGANIZATION
") CITYIZIP CODE crt 7 '011
1oI9M~ORK 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. 0 J 7, PUBLIC INPUT 0
......_..._....._._............__...........Q~...................-.............-.....-.......................-........................................-..--.
IN FAVOR 0 OR OPPOSITION~ TO MATTER? TODAY'S DATE ,- )7- DLP
NAME ~ C9~ -r o+h ORGANIZATION
(Ifappllcable)
HOME/WORK ADDRESS ZIP CODE '5'A~~ ~M
HOME/WORKPHONENOC?!
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-
9.Z7D'>
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.!It J ~
PUBLIC INPUT 0
IN FAVOR D OR OPPOSITION ~O MATTER?
TODAY'S DATE
7 ,jX' U~
NAME
f)'" - ,~ (" -,- r' '; \.
; \, . ~ ' . 't:' I, I I.
.I\i l ,t.r \ I / ---.:' v. v ~ i
ORGANIZATION
(if applicable)
"
HOME/WORK PHONE NO. .~ ?
(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-.LJ...
PUBLIC INPUT D
IN FAVOR 0 OR OPPOSITION ~rrO MATTER?
NAME.JJr/2E&- f..J1),(rl.J. g-5
TODAY'S DATE
7//7/0'-
.. II
HOMEIWORK ADDRESS ~ '
(please indicate one)
ORGANIZATION
(if applicable)
CITYIZIP CODe L.4f..4/NA U,t/~ , if;" 0
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. lKl r L
PUBLIC INPUT 0
IN FAVOR 0 OR OPPOSITIONi':! TO MATTER?
'TOM C~OI'){!;:
TODAY'S DATE
01-\7_0k,
NAME
ORGANIZATION
(if applicable)
HOMEIWORKADDRESS
(please indicate one)
E-MAIL ADDRESS