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HomeMy WebLinkAboutRequest to Speak - Toni Dieb (Item 11)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. complete an ubmit this form to the City Cierk/Recording Secretary. e AGENDA ITEM NO.1P4. 11 PUBLIC INPUT ❑ IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE NAME 2 r , __ORGANIZATION V . (if applicable) HOMENVORK ADDRESS t IP CODE���-7 HOMENVORK PHONE NO. qF /•- a,-,- 1dr-1 E-MAIL ADDRESS (please indicate one) s7't-���a �''k- �'