HomeMy WebLinkAboutAUG 19 2025 �C
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If you plan to speak to Council r¢garding an it¢m on the Consent Ageada or R¢gular Agenda,or
duriag the public comm¢nt p¢riod Of the m¢eting� please fill out this form and ta�nd it to the City
Clerk(wl�o sits to tLe left of the podium) before you approach the podium to speak_Tliauk you £or
h¢lping us witta the correct spelling of your uame aud address for tLe official record_
Print Name: � ����j C
Adaress: ��'� �L�C�' C�7 LZtrcz.�-7 �� ����Z p Zo
City: ��'Z - .
Phone Numbers C�� � ��� �t��-f
Email Address: �W2�`S�`C-'���al�cJ��- CSc-6L �
Date:
�l t� 1 �z-� �'
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I have read!he requirem¢nlsfor speakers in the meeting ojthe BeausnonZ Csty Council axd will adhere
fo ond abide by fhe re - eme _ � /
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Siguatur¢c ( 7
Please iudicate your comm¢ut cLoic¢c �
OCousent Agendac please iadicat¢the item aumber
OR¢gular Ag¢nda= please iadicate item number
�Discussioa Item
0 Public H¢aring
_�ublic Commeats -
Fa�s¢iy id¢ntifying yoursel£on this enrol�ment iorm or orally at th¢podium may co�stitute a crime_ A person commits an
ofFonse iF tie knowiagly makes a fa�s¢ entry in a govornmenta� r¢cord. Pena� Code Section 37_l0(a), Tampering with a
Govcrnmonta�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.
f
, ,
Print Name: � L-✓ �U �
,�✓' Gf , !7 a � !'1�l� (/' <
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Address: � (, 9 � �_�G „r ,`�' �
City: �o �►r��o�n,�
Phone Number: c..{ a aj 7 2-�� y 2 Zl
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Email Address:
Date: Yj l f g /� Z a Z 7
I have read the requirements for speakers in the meetin of the Beaumnnt City Council and will adhere
to and abide by the require .
Signature:
Please indicate your comment choice:
❑Consent Agenda: please indicate the item number
ORegular Agenda: please indicate item number
❑Discussion Item T
❑Py�Mic Hearing
CC�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 correc spelling of yo name and address for the official record.
Print Name: � L�
Address: � �
City: .C7
Phone Number:
Email Address:
Date:
a ��
I have read the requirements or speakers in the meeting of the Beaumont City Council and will adhere
to and abide by the requireme
Signature: � �
Please indicate your comment choice:
❑C�6nsent Agenda: please indicate the item number
L�egular Agenda: please indicate item number �
❑Discussion Item
0 Py�ic Hearing
C�ublic Comments
Falsely identifying yourself on this enroliment 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.