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HomeMy WebLinkAboutPublic Safety Committee audience participation 2-23-17NAME: *ADDRESS: UEST FO APPEA C EFORE CI COU CtL ( PLEASE PRINT) SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerkprior to addressing the City Council Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. NAME: *ADDRESS: E UEST FO APPEA CE EFO E CITY COUNCI ( PLEASE PRINT ) SUBJECT I AGENDA ITEM NUMBER(S) Please complete this form for the record and submit it to the City Clerk rior to addressing the City Council Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FS/Word/CounciVFor s NAME: UEST FO APPEA EFORE CI COU ( PLEASE PRINT ) NCE L *ADDRESS: (01;.C2,-.. Ift'.44t:460) IT114417. SUBJECT / AGENDA ITEM NUMBER(S): .1J'j'E)(tel Please complete this form for the record and submit it to the City Clerk rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FS/Word/Council/Forms E UEST FO APPEA NCE =EFO E CI COUNCIL ( PLEASE PRINT ) NAME: *ADDRESS: SUBJECT I AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) NAME: ctq+c<[ *ADDRESS: 3_3 L-Sr-P:10)Q b6 6 I1 r SUBJECT / AGENDA ITEM NUMBER(S): GAO i�-i I ti'C C 1 r Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PL aE.PRINT ) NAME: 'Y\ ( v CA ArY\ *ADDRESS: a �(, '_(� ( c10 `Z SUBJECT / AGENDA ITEM NUMBER(S): W XI ; Q-606 ,1 Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FS/Word/CouncilForms REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) NAME: *ADDRESS: SUBJECT / AGENDA ITEM NUMBER(S): 1%) t ` C 6rwi V1 C i Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) NAME: ? LLL Du *ADDRESS: YA IaNb t W �. SUBJECT/AGENDA ITEM NUMBER(S): N u(04ct l lY Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. E O UEST FO - APPEA - i NCE EFO E CI COUNCIL (;PLEASE, PRINT) NAME: *ADDRESS: Please complete this form for the record and submit it to the City Clerk for to addressing the City Council Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state our nam and whether you live inside or outside the City limits. y e Speakers will be provided 3 minutes each to addr© ss the Council; written encouraged. Also, please note that the Council meeting is being televised on Y-PAC ticable on is also 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) NAME *ADDRESS: SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FS/VVord/Council/Forms E UEST FOR APPEA NCE EFORE art' COUNCIL ( PLEASE PRINT) NAME: ti 4,042 2, *ADDRESS: 61,11 if0 I, lb I. Al SUBJECT / AGENDA ITEM NUMBER(S): 6 6,0 06 041 Please complete this form for the record and submit it to the City Clerk a rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. UEST FO" APPEA CE EFORE CI COUNCIL 7 prcAsE PRINT) — NAME: --/ SUBJECT/AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk • rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. NAME: *ADDRESS: REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) Nm rim '"e SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. E ' UEST FOR APPEA NCE EFORE CI COUNCIL (PLEASE PRINT) NAME: *ADDRESS: 0 SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk addressing the City Council. Guidelines for addressing the City r'oa to the reversed side of this form. Thank you for your .comm Council on are *Please provide your home address on this form. ants. and whether you live inside or outside the City IimitWhen addressing the City Council, state your name. Speakers will be provided 3 minutes each to address encouraged. Also, please note that the Council meeting is being televised on Y-PACtcable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. E NAME: *ADDRESS: • UEST FOR APPEA NCE EFORE CI COUNCIL / (PLEASE PRINT) SUBJECT / AGENDA ITEM NUMBER(S): /(1111.1'si. Please complete this form for the record and submit it to the City Clerk • rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this forrn. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) NAME: ht5)‘ t 5 S/LT4I9( lit *ADDRESS: Z) t SO c; & — AA 71A-Klitt1/4.14 /4- ge ob SUBJECT / AGENDA ITEM NUMBER(S): icLc.6-t/I pi o-ry Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FS/Word/CouncilForms REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) o- Al NAME: l ( d CO 0'0 *ADDRESS: 1 0 C 2 •6 '`-h u c. e% & / ! t_- Crego( c q) 9C C 0 SUBJECT / AGENDA ITEM NUMBER(S): `t 1C- \ G'v"\ t i C Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. NAME: *ADDRESS: REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) i) c\ 0 )(7--2 I10 qc ooc A-ve. of) (1 0 L A SUBJECT / AGENDA ITEM NUMBER(S): wC CUfr,In SC Lh� (0 i m lam Uh k) Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. E NAME:. 'ADDRESS:. 11„•;. lettke UEST FOR APPEA- NCE EFORE CI COUNCIL ( PLEASE PRINT) SUBJECT /AGENDA ITEM NUMBER Please complete this form for the record and submit it to the City Clerk rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FS/Word/Council/Forms NAME: *ADDRESS: REQUEST FOR APPEA A NCE EFORE CITY COUNCIL ( PLEASE PRINT) rk.) SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk • rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. RE UEST FOR APPEA NCE EFORE CITY COUNC L ( PLEASE PRINT ) NAME: *ADDRESS: ,57 SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk (or to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. NAME: E UEST FOR APPEA CE EFORE CITY COUNCI ( PLEASE PRINT) *ADDRESS: 'Kr, SUBJECT /AGENDA ITEM NUMBER(S): 161T../;.: •P•10:..,e'''. • -if Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. NAME: *ADDRESS: REQUEST FOR APPEA NCE EFORE CI COUNCIL ( PLEASE PRINT ) „ vhole i,„1,1,‘"? erroo. cx" o Ltr6 '1,4\ SUBJECT/AGENDA ITEM NUMBER(S): Scz Please complete this form for the record and submit it to the City Clerk r or to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. E NAME: 0 UEST FOR APPEA NCE EFORE CITY COUNCIL ( PLEASE PRINT ) *ADDRESS: 2 It) Ai 2. 5't"jt SUBJECT / AGENDA ITEM NUMBER(S): C011,10)00-4 Please complete this form for the record and submit it to the City Clerk • rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this forrn. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. NAME: *ADDRESS: REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) I i t A4Qrr\l Ef jn tiaa.�a l (7��5,5��nCpe�c., SUBJECT / AGENDA ITEM NUMBER(S): 1,1)e IUM/7,g Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FSNVord/Council/Forms NAME: *ADDRESS: UEST FOR APPEA NCE EFORE CITY COUNCIL ( PLEASE PRINT ) mk) Yi (IC ( - SUBJECT/AGENDA ITEM NU BER(S): A 7). Please complete this form for the record and submit it to the City Clerk • rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FS/VVord/Council/Forms E UEST FO APPEA NCE EFORE CI COUNCIL ( PLEASE PRINT ) NAME: *ADDRESS:. • St 4147 7: SUBJECT / AGENDA ITEM NUMBER(S): ‘e- tt'Y a if Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FSANord/Council/Forms E LIEST FOR APPEA NCE EFORE CI COUNCIL (PLEASE PRINT) NAME: *ADDRESS: rr, SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk • rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FSANord/CounciVForrns E NAME: *ADDRE UEST FOR APPEA NCE EFORE CITY COUNCIL {P E PRINT SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk ior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FSNVord/CounciVForms REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) NAME: *ADDRESS: SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. UEST FOR APPEA" C EFORE CITY COUNCIL ( PLEASE PRINT) NAME: *ADDRESS: SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk • rior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FS/VVord/CounciVForrns REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) NAME: CO V\,. e CJ '/ t �. u t V *ADDRESS: 14j LI S \ 6 v G:,A. vvi A SUBJECT/AGENDA ITEM NUMBER(S): ki Q`(Q Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. REQUEST FOR APPEARANCE BEFORE CITY COUNCIL ( PLEASE PRINT ) 1 NAME: c ri ( ( / *ADDRESS: 4 cke3 yge SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. REQUEST FOR APPEARANCE BEFORE CITY COUNCIL (PLEASE PRINT) 2 fat NAME: \, l *ADDRESS: SUBJECT / AGENDA ITEM NUMBER(S): \1 v �\ �-�J,\ Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FS/Word/Council/Forms REQUEST FOR APPEA NCE EFORE CITY COUNCIL ( PLEASE PRINT ) NAME: *ADDRESS: SUBJECT / AGENDA ITEM NUMBER(S): /pi e k Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. NAME: *ADDRESS: REQUEST FOR APPEARANCE BEFORE CITY COUNCIL LaSEPRINT ) (� I i l IS lk \Tc( cP1,6 SUBJECT / AGENDA ITEM NUMBER(S): Please complete this form for the record and submit it to the City Clerk prior to addressing the City Council. Guidelines for addressing the City Council on are the reversed side of this form. Thank you for your comments. *Please provide your home address on this form. When addressing the City Council, state your name and whether you live inside or outside the City limits. Speakers will be provided 3 minutes each to address the Council; written communication is also encouraged. Also, please note that the Council meeting is being televised on Y-PAC, cable channel 22. Profanity, personal attacks, derogatory remarks or other inappropriate language will not be permitted. FSNVord/CouncilForms