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Home My WebLink AboutSEP 2 2025 � �..� Z£you plan to speak to Couacil r¢gardi�g an it¢m oa the Cons¢nt Agenda or Regular Ageada�or during the public comm¢at p¢riod Of tlie m¢eting� pl¢ase ftll out tLis for:a�t aad hand it to tlie City Clerk(wlio sits to the left of th¢ podium� befor¢you approacli the podinm to sp¢ak_Tbank you for lielping us witla tl�¢corr¢ct p¢Iliug of your nam¢and address for tlie of£icial record_ Print Name. ��_��T ✓ � Addr¢ss_ �3 L �� . 1JC`,�L/ ��/� ClY3'� b' /W`�W! \`/V l� � . Pt�on¢Number: -T L�C/-/ /O"X � � � 0 Email Address- /�iJ I CQ- J��(S �Q�.l �//�� W��" ��l !% Date: -��• �Da� - I have read the requirementsfor speakers in the meelsng ofthe Beaumont Ciiy Council and will adhere to and¢bide by fhe r ui me�zls.__ Signature= Pleas¢indicate y r mm¢nt choice: OCoasent Ag¢nda: please indicate tLe item numb¢r �Regular Ag¢nda= please iudicate it¢m number �Discussion Item O Public Iiearing �ublic Comm¢nts - False�y identiFying yoursel£o�[his enrol�ment form or oral�y at ti�e podium may constitut¢a crime_ A person commits an oiY'ense iF he knowiz�gly makes a False ontry in a gov¢rnments� record. Penal Cod¢ S¢ction 37.10(a)� Tamp¢ring with a Gov¢rnmenta�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: � � V� �� Address: f � J V �e `'�� City: t .Jr�/L c)�a'.n/ Phone Number: `� (� � �S ( � � � � Email Address: 1" 1 'c/ �� ; �V L � �� Date: "I 1 Z I `'f �� 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 comment choice: ❑�C�°sent Agenda: please indicate the item number �Regular Agenda: please indicate item number�_ ❑Discussion Item ❑P blic Hearing �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 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 elling of you ame and address for the official record. Print Name: �� / Address: � �� City: �/� Phone Number: i �� Email Address: Date: O"� 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: ❑�C�o sent Agenda: please indicate the item numbe C�egular Agenda: please indicate item number� ❑Disc ssion Item ❑ 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.