HomeMy WebLinkAboutSPEAKER FORMS 05-01-07REQUEST 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 ClerklRecording Secretary.
AGENDA ITEM NO. ^ PUBLIC INPUT
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IN FAVOR Q OR OPPOSITION Q TO MATTER? TODAY'S DATE
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NAME ORGANIZAT 0
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HOMEIWORK ADDRESS _ _ ~ CITYIZIP CODE ,
HO 1W RK P ONE N0.
( a 'ate one)
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E-MAIL ADDRESS ~~~
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