HomeMy WebLinkAboutMAY 21 2019If 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 comment choice:
OConsent Agenda
Posted Item: please indicate item number
Work Session:
v Public Hearing
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:
S'TfDI�j A'Dq-.5- fL-AAde
Phone Number: � 9 1 �G —/3 77
Please indicate your comment choice:
[Consent Agenda
❑Posted Item: please indicate item number
Mork Session:
❑Public Hearing
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.