HomeMy WebLinkAboutSPEAKER FORMS 03-20-07REQUEST TO 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.
AGENDA ITEM NO. ^ PUBLIC INPUT ~~~
IN FAVOR Q OR OPPOSITION Q TO MATTER? TODAY'S DATE
NAME T C_.ORGANIZATION , v / ~'lx-CSIO
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(if applicable)
HOMEWORK ADDRESS CITY/ZIP CODE S~ G ! ~~
HOMEWORK PHONE NO. ~ '" /,~ IL ADDRESS
(please indicate one)
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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. ~ PUBLIC INPUT ^
IN FAVOR ~-0R OPPOSITION Q TO MATTER? TODAY'S DATE i ~. ~--~
NAME C~ ~ t~?`. Cq, S S-~'- ~' ~ ORGANIZATION (U ~'~ ~ ~ Vie' ±' s ~`~a "6 ~t
(if applicable)
HOMENVORK ADDRESS ~ ~ ~ CITY/ZIP CODE ~ U ~ ' ? t~ ~ ~ ~' ~ ~.~
HOMEWORK PHONE NO. ~ ~ " '~~" ~ ~ ~ ~ ~ .,~ ~`
(please indicate one) ~~ ,, "'
_,
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 PUBLIC INPUT ^
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IN FAVOR ° OR OPPOSITION Q TO MATTER? TODAY'S DAT
NAM ~ ~ w v ORGANIZATION--Z'~-'~+N{~ ~`~ LF'~C~V
~.,,___ ~ (if applicable)
HOMEWORK ADDRESS ~«'~' ~' ~~ CITY/ZIP CODE ~~ ~~ G~ ~~
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(please indicate one)
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