HomeMy WebLinkAboutJULY 15 2025 � �
If you plan to sp¢ak to Council r¢garding au it¢m on tli¢ Cousent Ag¢nda or Regular Ageada�or
duriag the public cominent p¢riod of the m¢eting� please fill out tLis form aud hand it to tlie City
Clerk(who sits to tlie le£t of the podium) before you approacli th¢ podium to sp¢al�Thank you for
li¢Iping us with tli¢correct spelliug o£your uame and address for tlie official record_
print�vame: A L T�-r �'Cz- T f—� I�- TZ 7Z 1 S 0 /�'
Addr¢ss= � Z 7 a �' Ci l'{ � G'—y!
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Phone Numb¢r_ C ��/ � %% � — � � ��
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Email Address_ �� � 0. h � 1� h I S o � � � � � (n p!J . �-�j 7if��
Date: �� r S� -Zs
I have read the requirements j'or speakers in the meeting of the Beaumont City Council and wiZZ adhere
to and abide by the requ�remenisr /J
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Please indicate your comm¢nt clioic¢=
OCons¢nt Ageudao pleas¢indicat¢th¢it¢m numb¢r
ORegular Agenda: please indicate item unmber
ODiscussioa Item
O Pub ' ring
ublic Comments -
Falsely idcntiFyivg yourse�F on ihis onro�Imont Form or ora��y at ti�o podium may co�stitute a crime_ A person commits an
offens¢ if he knowing�y makes a fals¢ cntry in a governm¢nta� record. Penal Code Section 37.10(a), Tamporing with a
Gov¢rnmental R¢cord_
� � �
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.
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Print Name: -�
Address: �3 4
City:
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Phone Number: �f(� � � .� ^�� J �
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Email Address: � � �'� � � ��w�
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Date: � r
I have read the requirements for speakers in th eting the Beaumont City Counci!and will adhere
to and abide by the requirements:
Si nature• �
g •
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑Public Hearing
❑ Public 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 qf 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.
PrintName: �)�(-� .11�91°( � �f�� L
Address: � � y.� V t �r 1 � l^ ��.�� ��
City: � 00!/V\�4-r',tlC' �������
PhoneNumber: a�-�`' ��� `��� 7' �
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Email Address: � . � •
Date:
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requirements:
Signature:
Please indicate your co ment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑Public Hearing
�blic 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.
C_ V� � `O�,
' � �
If you plan to speak to Council regarding an item on the Consent Agenda or Regular Agenda,or
during the public comment period Qf 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: ���+ ��I.�b� 1��'i-�'.�
Address: 3z�� �j 0�)� �T
c�ty: ���cc.�rv�,u��� �l`17Q3
Phone Number: ��� �� ,����
Email Address: �I�'u�335G ►�-TT'� ��
Date: �'/ `J ��„�j
I have read the requirements for speakers in the meeting of the Beaumont City Counci[and will adhere
to and abide by the requirements:
. r-
Signature. �� .���'�-L•��
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑P,,s►blic Hearing
�'�Public 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 qf 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:
Email Address: G%GC.� '/'I/Jv�
Date: �
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the require ents:
Signature:
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
❑Public Hearing
�(Public 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 ar Regular Agenda,or
during the public comment period qf 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:
C����
Address: �J/s(� 1 1/�� �
���: ge�� �x �
Phone Number: ��'(J�l J ���� U�� �
Email Address: S� .C�-�t�°' G�ol�. eO`-�
Date: � '�� �
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requireme
Signature:
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
�,F`ublic Hearing
Ld�Public 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 negarding 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 s lling of your name and add r the official re rd.
� �
Print Name: � y � �� � �
� .
Address: � � �� V �
c��: ' C� �
Phone Number: � 5��1�.
r --r—� � —
Email Address: � ` �� � �y/�
_ �
Date:
I have read the requirements or speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the re u' ements:
Signature: C/
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Regular Agenda: please indicate item number
❑Discussion Item
ublic Aearing
Public 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: ��
Address: �9� �r�
City: �
PhoneNumber: � ""'t�5�`'��
` r
EmailAddress: � ���;1 �C,��
J� �
Date: ���� ��V/�.
a.-
I have read the requirements f speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the require n
� ��
Signature:
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
❑Reg lar Agenda: please indicate item number
❑D' cussion Item T
ublic Hearing
❑Public 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: �� � ��
Address: � �� �r�` �
City: ���L M- �
Phone Number: �D� � ( U �'�t/J ��
� �
Email Address: c�l�� �j�,�'� sc" �-�f�,
Date: � � Z �
I have read the requirements for speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requirement • - --
5ignature:
Please indic e y com ent choice:
❑Consent Agenda: please indicate the item number J
❑Regular Agenda: please indicate item number -F-,�n,y� al
❑Discussion Item
�ublic Hearing
❑ Public 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.