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REQUEST TO SPEAK
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Providing the following infnirmafion is strictly voluntary, Only y ear name wfll appear in th
offua:i�,,,tl Minutes of Viii MocAin . The other information may be used by staff to cntact yOLL
P11 ,acornplete and SLki.amit th the City C Jerk Recording e u tai'y,
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AGENDA FEM Iqo PUBLIC INPUT'
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IN FAVOR e OR OPPOSITION TO MATTER? T DAY'S DATE .. .
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(ff applicable)
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HOMEIWORK PHONE NO-����W—E-MAIL ADDRESS,
(please nnd'ic to one)
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REST TO SPEAK.
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Providing the foflowi gi irfor°rriation isstrictly Vulfuruntary. Ony your. urarne will appear in the
ffi flail i+,mutes of thJs Meeting. The other informatbri may Il,e Used by staff to contact you.
Pasie compte and subnI0 this form to,the City(.lerk!RecrorrtOg Secretary'.
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AGENDA A ITEM N ..._BUC IN_PUT .
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IN FAV0,j341N
OR OPPOSITION' �....� TO C' tT"C" %" "C ODA `1 DATE,
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NAME � � � �� r ...,r �� t CS V t 6ON
(f appficaWe) i
'CODE
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(ploase indicate one)
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CITY OF YUSTIN f'^4„
REQUEST" ] SPEAK
Providing the follIowing information cs strictly VOlwn ntary. Only your name MI appear in the
offioi l minutes f III Meeting, The other Unforr'n tion may be used by staff to contact you ,
PUease clom l t °and SUbmit this form to the CosyClerk/Recording Secretary
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IN f°d''GVOR i ' ° OPPO I I O N FE-1)b MA l ER? .,U.. DA ''S DATE
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NAME
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CITY OF TuSTIN
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REQUEST O 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.
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AGENDA ITEM NO. D? PUBLIC INPUT .
IN FAVORC - OR OPPOSITION TO ATTER' TODAY'S DATE— _
M.,
NAME �,;� 9��- � ORGANIZATION
(if applicable)
HOME/VVORKADDRESS CITY/ZIP CODE
HOMEANORK PHONE NO. E-MAIL ADDRESS ,
(please indicate one)
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CITY OF � , TIS
REQUEST TO SPEAK
Providing the fcaHowing information is tricdy volunt ny, niy your cn n ic, lU aR`�h.a'�rar ill, the
LoffucW MinUt s olf this,Meeting, The other information may be used by staff to contact you,
Rease complete and submit this forrn,.n to the CIty,UerklRecording Seciretary.
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AGENDA ITEM NO, FJ PURUG INPUT El
IN FAVOR,, '�)R OPPOSITION TO MATTER? TODAY'S DATE-3
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NAME ORGANIZATION
(if appficable)
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FI IME t 'h ONE NO� I■1111� :-MAIL ADDRESS
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CITY OF TI
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 stuff to contact you.
Please complete and submit this farm to the City Clerk/Recording Secretary,
AGENDA ITEM NO. ❑ PUBLIC INPUT ❑
IN FAVOR❑ OR OP C) ITION TO MATTER? TODAY'S DATE
NAME ` ORGANIZATION 10
(if applicable)
HOME/VVORKADDRESS vp'CITY/ZIP CODE
OMEPVVORK PHONE NO, E-MAIL ADDRESS '
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(please indicate cane)
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