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HomeMy WebLinkAboutAPR 02 2019If you plan to speak to Council regarding an item on the Consent Agenda or Regular 1 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 comment choice: ❑Consent Agenda - ❑Posted Item: please indicate item number ❑Work Session: ❑Public 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 Co ncil regarding an item on the Consent Agenda or Regu ar Agenda, or during the pus 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 e apodium to speak. Thank you for helping us with the correct spelling of your name and address for the official record. (� Print Name: Address: 3 5 S\' •' N �' LQ City: I1)�-�u ► r Ib "'1 �C Phone Number: Please indicate your comment choice: OConsent Agenda ❑Posted Item: please indicate item number ❑Work Session ❑Public Hearing q�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. O If you plan to speak to C001, o ncil regarding an item on the Consent Agenda or Regular Agenda, or during the pu comment period of the meeting, please fill out this - and hand it to the City Cler who sits to the left of the podium) before you approach e 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: 14 A,-7 Please indicate your comment choice: OConsent Agenda ❑Posted Item: please indicate item number ❑Work Session ❑Public Hearing "-E7Public 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: ZL On oA) Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Pu 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 37.10(a), Tampering with a Governmental Record. If you plan to speak to Ccil regarding an item on the Consent Agenda or Recur Agenda, or during the pue comment period of the meeting, please fill out thisW 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 comment choice: ElConsent 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 37.1 O(a), Tampering with a Governmental Record. c C A e 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. � ., l Print Name: Address: City: Phone Number: Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work ession: opt is Hearing ubiic 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. Regular if you plan to speak to Council regarding an item on the Consent Agenda or Re g 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: 1 FC 0 Address: d v 1\ %« n 'I _ � �! L4 V-YA City: -e CA -D Phone Number: (o q -� I I— t o Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number Mork Session: ❑Public Hearing aFLublic 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 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: P Address: City: la !2t Phone Number: Please indicate your comment choice: 1 ❑Consent Agenda ❑Posted Item: please indicate Item number DWork Session: [� ublic 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. -10c' item on the Consent Agenda or Regular if you plan to speak to Council regarding an 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. Print Name: ja) Address: ��� C� err► ��1��, 5 f?� '�� City: rnn4 Phone Number: !�Dq --7Fs2— UV Please indicate your comment choice: [Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: Vu blic Hearing blic 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 Council regarding an item on the Consent Agenda or Regular Agenda, or during the pucomment period of the meeting, please fill out this and hand it to the City Cler who sits to the left of the podium) before you approach .e podium to speak. Thank you for helping us with the correct spelling of your name and address for the official record. Print Name: _/idL- 0 . k:�r� 5 Address: �{ / rj�►'�1�y ��-- City:��lo� f /� Phone Number: Please Indicate your comment choice: ElConsent 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 ln� a governmental record. Penal Code Section 37.10(a), Tampering with a Governmental Record. ]f you plan to speak to Council regarding an item on the Consent Agenda or kegular IAgenda, 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: VQht cc Address: City: Phone Number: jc� -�) WL 0-gf, r, ,i , Please indicate your comment choice: ❑Consent Agenda �Rffosted Item: please indicate item number ork 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.