HomeMy WebLinkAboutAUG 05, 2025 - PUBLIC HEARING � �
�
If you plan to spea$ to Council regarding an it¢m on the Conseat Agenda or R¢gular Ag¢nda�or
during tlie public comzneat p¢riod Of th¢ m¢¢ting� pl¢ase Sll out this form and hand it to the City
Cl¢rk(wLo sits to tLe left of the podium) before you approach ttie podium to speak_Tlaank you for
helping us witla tLe correct spelliag oFyour name address for the official record.
Print Namec 'ti�!1/Vl Y��.��� �e�.�
Address_ � � � � fCC -
City= .�il/��a.[/t7���%�_ .
Plaoue Number= �/U� � % � - dl 7 ��
Email Addr¢ss: -
Date_ � � �7 ���
I h¢ve read the requsrementsfor spe¢kers�f t ih Beaumos�t Ciiy Council and wil7 adhere
to arzd abide by the require�ssents:-�� "--
]
Siguature:
Please indicate your comm ch _
OCons¢ut Agenda: please indicate tta¢item number
OR¢gular Ageuda: please indicate iteaa au=nber
O�D��cussion It¢m
Q�Public Heariag
O Public Commeats -
Falsely identifying yourself on this enrollment form or orally at tLe podium may constitute a crim¢_ A p¢rson commits an
ofFcnse 1£he kaowivg�y makes a False entry in a govcrnmenta� record. P¢nal Code S¢ction 3710(a), Tampering witl� a
Governmental Record.