HomeMy WebLinkAboutREQUEST TO SPEAK FORMS %CfITY OF T STIN
REQUEST TICS SPEAK
Providing the fonowing information its strictly voluntary. Only your name Will appear in the
,fftclal Minutes of this Beating. `The carer information may he used by staff to contact you.
Please comr ete t=5s or .=lneCity l rk/Reoor i n Secretary.
AGGEVN 3A ITEM,NO. i 1 P ''BLC INPUT 7
........
[l FAVOR PPOSIT TC I�TTI 0DA` S DATE_
NAME 4—)0 ...... OR ANIZATION
Qf applicable)
HOMEJWORKADDR SE JTy/ZjP CODE
HOMBWORK PHONE l�l�. ............. -MAIL.AL DRES
(pleas indicate one)
i
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 d bm his form to the City Clerk.
AGENDA ITEM NO.❑ } PUBLIC INPUT EI
TOPIC(S) IN WHICH YOU WOULD LI E TO ADD SST CITY COUNCIL:
y� G-4,-� Vic:E. �' rill 1. (�
IN FAVOR R OPPOSITION❑TO MATTER? TODAY'S DATE r
NAME S a�- �4:Z G,kO ORGANIZATION 1-6-5 , i K '
(if applicable) q
HOMEIWORK ADDRESS ` � 1Y .t � CITY/ZIP CODE_ ��� ( —6 f 2 _
HOMEIWORK PHONE NO. �� — — 'C° � E-MAIL ADDREScr � ��
(please indicate one)