HomeMy WebLinkAboutJAN 22 2019J_D
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If you plan to speak to Council regarding an item on the Consent Agenda or R yu�ar
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:
City: J°� %✓J:
Phone Number: L(U
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
❑Public Hearing
Pftblic 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
37.1 O(a), Tampering with a Governmental Record.
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If you. plan to speak to Cocil regarding an item on ,the Consent Agenda or Re�r
DAgenda, or during the public comment period of the meeting, please fill out this form
O- 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:T Address: s—
City: -377"
Phone Number: ` ®'`����
Please indicate your comment choice:
OConsent Agenda
17Posted Item: please indicate item number
❑Work Session
*ublic Hearing
lKublic 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 Ccil regarding an item on the Consent Agenda or Re
10 Agenda, or during the pubic 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
address for the official record.
Print Name: �!
Address:
City: l.� 77 ��-�J
Phone Number: �c�-��7��✓�� U
Please indicate your comment choice:
MConsent Agenda
❑Posted Item: please indicate item number
❑Work Session
❑Public Hearing
6115`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 C'cil regarding an item on the Consent Agenda or Re r
the ub is comment period of the meeting, please fill out this
O Agenda, or during p
and hand it to the City Clerk (who sits to the left of the podium) before you approach the
-P I podium to speak. Thank you for helping us with the correct spelling of your name and
address for the official record. \\ R
Print Name: LOT ` 14
Address: \ 5 (015 -�S '�`�
City:����
Phone Number:
Please indicate your comment choice:
MConsent Agenda
Posted Item: please indicate item number _
❑Work Session
❑Public 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.