HomeMy WebLinkAboutSPEAKER FORMS 10-16-07CITY OF TuSTIN
REQUEST TO SPEAK
L/
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 V) (,P 0
NAME ORGANIZATION
(if applicable)
HOMEWORK ADDRESS
CITY/ZIP CODE
HOME/WORK PHONE NO. ! E-MAIL ADDRESS
E
(please indicate one)
CITY OF 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.
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AGENDA ITEM NO. ❑ PUBLIC INPUT
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IN FAVOR En/OR OPPOSITION EB TO MATTER? TODAY'S DATE/n�� U L 1 b-7
NAME 9- RR'C� ��th 4�f ORGANIZATION P'° AVhWOOQ
v (if applicable)
HOMEWORK ADDRESS)
E-MAIL ADDRESS
(please indicate one)
0
CITY OF 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 ❑
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME
G A-1)
(if applicable)
HOMEWORK ADDRESS S �G L 6f �GCITY/ZIP CODE
HOMEWORK PHONE NO.E-MAIL ADDRESS
(please indicate one)
0
CITY OF TuSTIN
REQUEST TO SPEAFA
0
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. ❑
IN FAVOR ❑ OR OPPOSITION 0 TO/MATTER?
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NAME Dy 4-C- V-- VO��IP�`1�V
PUBLIC
TODAY'S DATE V C� 1 O
� � CITYfZIP CODE I I C) qa 7 D G
HOMEIWORK PHONE NO. E-MAIL ADDRESS
(please indicate one)
CITY OF TUSTIN
�r
REQUEST TO SPEAK
, to
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' 10
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
� 1
NAME ORGANIZATION
CODE
HOMEWORK PHONE NO. -- E-MAIL ADDRESS
(please indicate one)
E
CITY OF TuSTIN�.�+• :REQUEST TO SPEAK
0
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.
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AGENDA ITEM NO. ❑ PUBLIC INPUT �&
IN FAVOR OR OPPOSITION ❑ TO MATTER? TODAY'S DATE
NAME
1
CITY2IPCODE
HOMEWORK PHONE NO.( E-MAIL ADDRESS
(please indicate one)
• . 0
CITY OF 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 ❑
—— ............
- -- -- — -- - - ------
IN FAVOR ❑ OR OPPOSITION ❑ TO MATTER? TODAY'S DATE 10/ ('C
NAME
(if applicable) I �}
HOMEWORK ADDRESS CITY/ZIP CODE I 7 U S i ` \- 61 �7 Jp
HOMEWORK PHONE NO.� E-MAIL ADDRESS
(please indicate one)