HomeMy WebLinkAboutWORKSHOP SPEAKER FORMS 10-16-07CITY QF 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.
Please complete and submit this form to the City Clerk/Recording Secretary.
AGENDA ITEM NO. ^ PUBLIC INPUT
......_....w .............. J ~ ¢ ` a
IN FAVOR OR OPPOSITION (TO MATTER? TODAY'S DATE ~ '~ i a..~ ~~ ~
NAME ` ~ ~ ~ ~~ ~ c, ~ ~ ORGANIZATION I' °~.,~~ ~V ~' a~ F~,~'-~•'~ ~ ~~~,,
(if applicable)
HOMENVORK ADDRESS ~ ~ ~ ~ ~" '"~~ ~'''~ CITY/ZIP CODE '/ `; ~` ~ ' `~•° ~ ~ Z"~ ~~
HOMEWORK PHONE NO.~ ~ `~ ~ ~~--~~ ~~ E-MAIL ADDRESS ~ `~°
(please indicate one) ~'
~Tl~ O~ TUSTI~
.c :C~
_~:::: ::::~ 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 ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE ~~~ ~~ ~ U
n ,---- ~^
NAME I 1 ~ ~ f ~> ~ ~ ORGANIZATION
-' (if applicable)
HOMEWORK ADDRESS ~ CITY/ZIP CODE
HOMEWORK PHONE E-MAIL ADDRESS
(please indicate one)
~ ~.~ v
~, ? i
~ O~
~~~ y,
~ /:'.
~ .0a: ~
GITIf QF 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.
Please complete and submit this form to the City Clerk/Recording Secretary.
AGENDA ITEM NO. ^ PUBLI.C INPUT
C~ ~~ ~ ~ G ~
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY S DATE ~
`' ~%~~~ V~v~~~ v ORGANIZATION
NAME
~
~ ~~ ~ ~ l ~ ~~ ~
HOMENVORK ADDRESS CITY2IP CODE
HOMEWORK PHONE NO. E-MAIL ADDRESS.
(please indicate one)
G~r~r o~ Tuss~N
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 INPU~
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE
NAME ~-' dr ~)' ~ ORGANIZATION
(
CODE
HOMENVORK ADDRESS ~~
HOMEIWORK PHONE ~ ~-.~~ E-MAIL ADDRESS
(please indicate one)
~~~1 _
r'
~..
~ 1
``
~.
C~r~r Q~ TusriN
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 F=AVOR ^ OR OPPOSITION ^ TO MATTER? TODAY'S DATE
~~ ORGANIZATION
NAME
CITI(/ZIP CODE ~ ~/~ `-~' ~ ~°?7~~
H~ME/W~RK A~~RESS
HOMEWORK PHONE NO. ~ E-MAIL ADDRESS
(please indicate one)
CtTlf QF 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.
Please complete and submit this form to the City Clerk/Recording Secretary.
AGENDA ITEM NO. ^ PUBLIC INPUT ^
' TE ~~1 ~~(C
IN FAVOR ^ OR OPPOSITION ^ TO MATTER? TODAY S DA
~"~
NAME ~Ju'~'~~..., `"~ ° ORGANIZATION
(if applicable)
HOMEWORK ADDRESS ~'`~ ~ `~`` ~ ~'`~' ~ ~ ~
CITY/ZIP CODE ~u 5~ t~~-- `~ ~~ ~~ `-~
HOMEWORK PHONE ~ ~`' E-MAIL ADDRESS,
(please indicate one)