HomeMy WebLinkAboutFEB 05 2019PC
tIf you plan to speak to Council regarding an item g on the Consent Aendo or Rer
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: OSS C 1 �-
City: 0 w
Phone Number: �`�f q `
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate Rem number
ork Session:
ublic Hearing
[4ublic 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 RePr
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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;
r
Address:
City:NL .
Phone Number: l!9P7 3 '5 (4
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please Indicate item number
❑Work Session:
4ublic 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 ff 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 Council regarding an item on the Consent Agenda or Re g r
Agenda, or during the public comment period of the meeting, please fill out this form
l and hand it to the City Clerk (who sits to the left of the podium) before you approach the
v podium to speak. Thank you for helping us with the correct spelling of your name and
address for the official record.
Print Name: �1 1 i 4
Address: � CAI
City: Z3 M
Phone Number:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
❑Public Hearing
IR'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.
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 official record. % ,
Print Name:
Address:
City:
Phone Number:
Please indicate your
❑Consent Agenda
❑Posted Item: please indicate item number
ClWork Session:
❑Public Hearing
UPublic 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 Cit regarding an item on the Consent Agenda or Re-90
9
A enda, or during the pub Ic comment period of the meeting, please fill out this
fWh
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: I' ��carc ons
Phone Number:
Please indicate your comment choice:
ElConsent Agenda
❑Posted Item: please indicate item number
❑Work Session
❑Public Hearing
WPublic 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 Ccil regarding an item on the Consent Agenda or Recur
Agenda, or during the pu c 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: l
Address: 2- S Aj,
Cit
0&,� -7 e �l �G `� ) y` 77 �
City:
Phone Number:
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(a), Tampering with a Governmental Record.
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 official record.
Print Name:
Address: '�jDS�� �D(OIG� ►�1
City: 3�
Phone Number: 4c I• x'4Z 1j
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
❑Public Hearing
UPublic 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.