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HomeMy WebLinkAboutAPR 30 2019If you plan to speak to Council regarding an item on the Consent Agenda or RecPiar 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: %'Uo7�fl�lqLM Z21- City: 2 -City: J Phone Number. �a � -793 5e) Please indicate your comment choice: ❑Consent Agenda - -7 *5 - Posted Item: please indicate item number ❑Work Session: ❑Public Hearing ❑Public Comment Period C 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 37.1O(a), Tampering with a Governmental Record. C4" A P / r n If you plan to speak to Council regarding an item on the Consent Agenda or Regular r 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: '57, Address: 70Y,5— $4-4 <WE� City: Phone Number: B Please indicate your comment choice: ❑Consent 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 Retr Y P P g 9 9 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: Address: City: Phone Number:641-�(q �� Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: ❑Public Hearing [Oubllc 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 Ac -11 regarding an item on the Consent Agenda or RegPar 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 r cord. Print Name: '� (e Address: City: /7 Phone Number: Please indicate your comment choice: ❑Consent Agenda - ❑Posted Item: please indicate item number []Work Session: Vublic Hearing 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 p p regarding plan to speak to Council re ardin an item on the Consent Agenda or Regafar 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. Name:D A L4 �� P Pr►nt Nam • Address: - I SIO 1463 00 Ci Cj CT J / 5L21 P 9, Phone Number: 11.1 Please indicate your comment choice: ❑Consent Agenda ❑Posted Item: please indicate item number ❑Work Session: 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 37.1 O(a), Tampering with a Governmental Record. IfPou plan to speak to Council regarding an Item on the Consent Agenda or Reg�r Y P 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. v�CA' Print Name: C Ls Address: -M►" (q, - - I • - Number:., Please indicate your comment choice: ❑Consent 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. If you plan to speak to Council regarding an item on the Consent Agenda or Re u�lar Y p p 9 9 g g Agenda, or during the public comment period of the meeting, please till 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. (y A • Print Name: Address: , City:�a��l.Ul?�D1 �-rr Phone Number: �'�/r ^ tA4- 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.