HomeMy WebLinkAboutSPEAKER FORMS 09-04-07~..
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~~~f~ ~ REQUEST 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. Z I PUBLIC INPUT
IN FAVOR ^ OR OPPOSITION Q~TO MATTER? TODAY'S DATE .Si~Prgn~B~~ ~ ; zao 7
NAME ~~ ~ ~ ~~~ ~~~
ORGANIZATION ~~c" Ca~~~y t'~i4c.:~,~s
(if applicable) ~~v-~~ ~~D jT v~~n~
HOM OR DDRESS CITY/ZIP CODE ~~ 7~'Q
HOM ORK ONE NO. '~,~~ ~ ~ E-MAIL ADDRESS ~
(ple icate one)