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HomeMy WebLinkAboutJUN 25 2019If you plan to speak to Co cil regarding an item on the Consent Agenda or Regular Agenda, or during the pu comment period of the meeting, please fill out this CJ 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: D f} �! , 0 4e -,(7e Address: Clty: kAgWtO w "-. y Phone 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 pian to speak to Ccil regarding an Item on the Consent Agenda or Regular Agenda, or during the p 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: •� l�J�'� I�'� Address: D �S �� .SST City: 6o.c..n,1,u j 7z Phone Number: �` _ Y 7 7 lease indicate your comment choice: Consent Agenda ❑ osted Item: please Indicate item number -46-Work Session ❑Public Hearing Vublic 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. /Y If you plan to speak to Council regarding an item on the Consent Agenda or Regular l� Agenda, or during the pucomment period of the meeting, please fill out this and hand it to the Cit Cler who sits to the left of the podium) before you approachl'Re 3 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 Z ublic 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. C 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 f� and hand it to the City C rrfwho sits to the left of the podium) before you approach podium to speak. Tha ou for helping us w)tgi the correct spelling of your name and address for the offici re ord. 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. PC If you plan to speak to C cil 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 3Pfe Clerk (who sits to the left of the podium) before you approach podium to speak. Thank you for helping us with the correct spelling of your name and address for the official record. Print Name: S' E' p �1 e �► �/�i��s on Address: City: T� 27707 Phone Number: L) G ��� ✓ ` -7 ! " Please indicate your comment choice: OConsent 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. 0 el If you plan to speak to C nci! regarding an item on the Consent Agenda or Regular �L Agenda, or during the p 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: C Q G Address: City. �PQtcl�'�arc. 7 7 76 7 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 consfrfute a crime. A person commits an offense if he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(x), 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. _ f , Print Name: Address: City: Phone Number: �4t�fi (�s9 4'32 -- Please indicate your comment choice: Vo nsent Agenda sted Item: please indicate item number ❑Work Session: ©Public Hearing ❑Public Comment Period R 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 Cncil regarding an item on the Consent Agenda or Regular y Agenda, or during the p 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. l_ Print Name: �1= C 1 U Tf' oC 1L Address: p} S S� C City: Phone Number: D — (0 Please indicate your comment choice: OConsent Agenda �Oosfed 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 czrime. 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.