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O Agenda e If you plan to speak to Council regarding an item on the Consent A g 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 lett 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:
fAddress: t
City: z��2 ,2 Z
Phone Number:
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑Work Session:
PPybllc 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.
i
If you plan to speak to Council regarding an item on the Consent Agenda or Regula
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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: �,� U
(/^ �r
Address: V
City:
Phone Number:22-
Please indicate your comment choice:
OConsent Agenda
❑Posted Item: please indicate item number
[Mork Session:
OPublic Hearing
IVublic 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 if 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:%x F dic�'/19 *f'/
Address: � 0
City: �'5A(t /'tOJ i
Phone Number: 161 X37
Please indicate your comment choice:
OConsent 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: / l
Address: c7
City:
Phone Number: `cco
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate Item number
[]Work Session:
❑Pubilc Hearing
Oh5bblic 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 ReIn
Agenda, or during the pub Ic 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: �;e— /�
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
37.10(a), Tampering with a Governmental Record.
If you plan to speak to COCII regarding an item on the Consent Agenda or Recc&r
Agenda, or during the pubic comment period of the meeting, please fill out this fWn
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 rec rd.
Print Name: ti* ,
Address: Z w h3--n
City: 73 Kn J
Phone Number: 0
Please indicate your comment choice:
MConsent Agenda
❑Posted Item: please indicate item number
❑Work Session
V
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
37.10(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 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.
P44,
Print Name: `� ��� s
Address: 15-1
City:
Phone Number:
Please indicate your comment choice:
ClConsent Agenda
❑Posted Item: please indicate item number
❑Work Session
❑Public Hearing
IRPublic 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.