HomeMy WebLinkAboutJAN 08 2019an to speak to Council regarding an item on the Consent Agenda or Regar
If you plan p 9 9
Agenda, or during the public comment period of the meeting, please fill out this form
and hand it to the City Clerk (who sits to the left of the podium) before you approach the
podium to speak. Thank you for helping us with the correct spelling of your name and
address for the official record.nn 1
Print Mame:
Address:
City: Se -01W m o ,o f `fie X qs -7-771-3
Phone
77713
Phone Number:
Please indicate your comment choice:
❑Consent Agenda -
❑Posted Item: please indicate item number
❑Work Session:
❑P blic Hearing
Public Comment Period
Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person
commits an offense if he knowingly makes a false entry in a governmental record. Penal Code Section
37.10(a), Tampering with a Governmental Record.
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if you plan to speak to C11 regarding an item on the Consent Agenda or Re
Agenda, or during the putbc comment period of the meeting, please fill out this
and hand it to the City Clerk (who sits to the left of the podium) before you approach the
podium to speak. Thank you for -helping us with the correct spelling of your name and
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Print Name:
Address:
City:
Phone Number:
Please Indicate your comment choice:
ClConsent Agenda
❑Posted Iter -please indicate item number
❑Work Session
❑P l� Hearing
G9Public Comment Period
Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person
commits an offense if he knowingly makes a false entry in a governmental record. Penal Code Section
37.10(x), Tampering with a Governmental Record.
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If you plan to speak to Council regarding an item on the Consent Agenda or Regular
3 Agenda, or during the public comment period of the meeting, please fill out this form
and hand it to the City Clerk (who sits to the left of 'the podium) before you approach the
podium to speak. Thank you for helping us with the correct spelling of your name and
address for the official record. .
Print Name:
Address: 3 S� ).`i/G✓ �.�
City:y� ZL hn T
Phone Number:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
OWork Session:
qu is Hearing
ublic Comment Period
Falsely Identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person
commits an offense if he knowingly makes a false entry in a governmental record. Penal Code Section
37.10(a), Tampering with a Governmental Record.
If you plan to speak to Council regarding an item on the Consent Agenda or kegular
Agenda, or during the public comment period of the meeting, please fill out this form
and hand it to the City Clerk (who sits to the left of the podium) before you approach the
podium to speak. Thank you for helping us with the correct spelling of your name and
address for the official record.
Print Name:
Address:
.10
City:
Phone Number: ^��`( L J-7 ��
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
❑Public Hearing
EWublic Comment Period
Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person
commits an offense if he knowingly makes a false entry in a governmental record. Penal Code Section
17 1 nrnl Tmmnerina with a Governmental Record.
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