HomeMy WebLinkAboutMAY 6 2025 If you plan to speak to Council regarding an item on tLe Cousent Agenda or Regular Agenda,or
during tlie public comm¢nt p¢riod of the III00YlIIg� pleas¢ fill out this Form and haad it to the City
Clerk�wlao sits to the left of tLe podium� befor¢you approach tlie podium to speak.TLank you for
la¢lping us with the corr¢ct sp¢lling of your nam¢and address for tli¢official r¢cord_
PrintName: LR�Iey ��eL�i�/SF
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Address: J ! �C� Cz.eee�vr,00Q L-A�
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pbone Number= �0�^ o�L R�- a o t a-
Email Addr¢ss: /O �o�{g�TG � aq�J �- �le• �fl �j
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I have read!he requiremeats for speakers in the meeting of the Beaumor�t Ciiy Council and witl adhere
to and abide by the requir�ntsr
Sig�aturec ��/�
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Pleas¢indicate your comment choic¢:
OCoaseat Ag¢uda= please indicate the item numb¢r
ORegular Ag¢ndac pleas¢indicate it¢m uumb¢r
�DISC11SSlOII ItCIIl
0 Public H¢aring
L�blic Comments -
�
Fa�s¢�y id¢ntiiying yourself ov t�iis enro�Im¢nt form or oral�y at the podium may constitut¢a crime. A p¢rsov commits an
ot'fense if hc knowi�g�y makes s Fa�se ontry in a govcrnmenta� r¢cord_ Penat Codo Section 37.10(a)� Tampering with a
Govcrnmentat Record.
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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: ��,� Q� � �'- ✓ �
c��y: � .��,�o
Phone Number: �'���� ���� � ��
�
Email Address: C C s�� �. �� � ��C.., Cv�7
�^
Date: _�,
I have read the requisements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requirements: �
Signature:
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑ P ic Hearing � 'C �
ublic Comments
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������I���
Address: ����.J ��(7D(�U l �
��Ty: ���a m���x� '7��?��
Phone Number: '��Q�p�� f-�'��'�..�
�
Email Address: 1,d �; J r��P�--�A�� �y�-m�-> > ��
Date: �
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requirem
Signature: �
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item T
Public Hearing
Public Comments
Falsely identifying yourself on this enrollment form or orally at the podium may constitute a crime. A person comroits an
offense if he knowingly makes a false entry in a governmental record. Penal Code Section 37.10(a), Tampering with a
Governmental Record.