HomeMy WebLinkAboutJUL 09 2019DOctp,
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.
Y 1
Print Name:
Address:(DOI,
City:
Phone Number:
Please indicate your comment choice:
❑Consent Agenda
❑Posted item: please indicate item number
ClWork Session:
❑Qublic Hearing
Public Comment Perlod
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.
9,19
if you plan to speak to Council regarding an item on the Consent Agenda or Regu ar
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
A / podium to speak. Thank you for helping us with the correct spelling of your name and
l''L( address for the official record.
(� Print Name:
Address: %6 Ir ( ,�
City:
Phone Number: —`
Pi ase indicate your comment choice:
I Consent Agenda C, D4-'(11
❑Posted !tern: please Indicate item number
❑Work Session:
❑Public Hearing
Public Comment Period
Falsely identifying yourself on this enrollment form or orally of 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.
Doi -+c1
If you plan to speak to Council regarding an item on the Consent Agenda or get
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: .
TDr1Vr
Address:
City:
Phone Number: ((4 01 �dZti�
Please indicate your comment choice:
❑Consent Agenda
❑Posted Item: please indicate item number
❑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.