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HomeMy WebLinkAboutJAN 29 2019P-4 If you plan to speak to Gdbcil regarding an item on the Consent Agenda or Re r f „ Agenda, or during the puMC comment period of the meeting, please fill out this* V'JU 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: AN'.iSILE P>ASKOMS" Address: %)t City: A ki Phone Number. SI 2 -- 322 — °I q I :S Please Indicate your comment choice: ClConsent Agenda (Posted Item: please indicate item number_�a.Crtd Mork 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 37.1 O(a), Tampering with a Governmental Record. If you plan to speak to C'cil regarding an item on the Consent Agenda or Re r i mm the ub iic comment period of the meeting, please fill out this LJ Agenda, or during p 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: � C � � �C D P �< Address: M0 Y, f ��-e�� � fi �7 70 City: r� D Phone Number: Please indicate your comment choice: ClConsent Agenda ❑Posted Item: please indicate item number ❑Work Session ❑Public Hearing wvbli-c— 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. r If you plan to speak to COO regarding an item on the Consent Agenda or Rer Agenda, or during the puMc 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: e. Phone Number: Please indicate your comment choice: ClConsent Agenda OPosted Item: please indicate item number ❑Work Session ❑Public Hearing 4Public 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. �C If you plan to speak to Council regarding an item on the Consent Agenda or Regular 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 officiN"Q=-'� all record. Print Name. . SG Address: City: Phone Number: L& 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. �C If you plan to speak to Clecil regarding an item on the Consent Agenda or Re Agenda, or during the public comment period of the meeting, please fill out this f M 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. 1 Print Name: Address: Z Z LIP City: Phone Number: Please indicate your comment choice: ElConsent Agenda ❑Posted item: please indicate item number ❑Work Session ❑P lic 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 37.1 O(a), Tampering with a Governmental Record. If you plan to speak to Ccil regarding an item on the Consent Agenda or Re 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: Phone Number: 7- 2 Ds -J8 Please indicate your comment choice: ClConsent 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(❑), Tampering with a Governmental Record. C If you plan to speak toC it regarding an item on the Consent Agenda or Re -90 Agenda, or during the ub is comment period of the meeting, please fill out this g 9 P fff 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: 8 W, IV Address: City: Phone Number: Please indicate your comment choice: ClConsent Agenda ❑Posted Item: please indicate item number ❑Work Session ❑Public Hearing CpFblic 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 Ccil regarding an item on the Consent Agenda or Re Agenda, or during the pub 1s 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: O f b12 City: ! Phone Number: A0 �ls— Please indicate your comment choice: CiConsent Agenda ❑Posted Item: please indicate item number ❑Work Session ❑Public Hearing �Iubllc 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.