HomeMy WebLinkAboutSPEAKER FORMS 10-02-07CITY O~ TUST~~ ~'
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 I~
R? TODAY'S DATE ~ ~ ~ ~ ~
IN FAVOR ^ OR OPPOSITION ^ TO MATTE
~ ~ ~ ~ ~ ~ ~ ORGANIZATION Q ~' V C G
NAME ~ ~.
(if applicable)
~ a. I,G
CODE `~ ~ ~ ~ ~ ~ G ~ "
HOMEWORK ADDRESS ~' ~
HOMEWORK PHONE NO. ~ ~ E-MAIL ADDRESS ~ ~ ~ ~~'~~~ ~ ~ ~ ~"'(~
(please indicate one)
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QTY O~ TU ST~~
~:~:: :::.;. REQUEST TO SPEAK
.;::.
Providin the following information is strictly voluntary. Onty your name will appear in the
9
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 Clerlc/Recording Secretary.
AGENDA ITEM NO. ^ _______ PUBLIC INPUT ~
SITION TO MATTER? TODAY'S DATE / ~ L
IN FAVOR ^ OR OPPO ^
ORGANIZATION
NAME
(if applicable)
~~ CODE ~~
HOMENVORK ADDRESS !
~ '
~
HOMEWORK PHONE NO. ,~_ '~ E-MAIL 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 N~!`: D ~_ PURt.IC INPU ~
~_..w_.. _ --~,---------
IN FAVOR ~ .OR OPPOSITION ^ TO MATTER? TODAY'S DATE
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NAME (
HOME/HIORK ADDRESS ~ CITY/ZIP
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HOMEWORK PHONE NO. E-MAIL ADDRESS.
(please indicate one)