HomeMy WebLinkAboutMINUTES - 03142006 - D.5 REQUEST TO SPEAK FORM
(THREE (3) MINUTE LIMIT)
Complete this form and place it in the box near the speakers' rostrum before addressing the Board.
Name: Phone: 5-1 Z z z, Z 6 Z
Address: f Z VJrsLr 4.1-11, 01, City: �ti�✓l
Please note that if you choose to provide your address and phone number, this information will become a.
public record kept on file with the Clerk of the Board along with the minutes for this meeting
I am speaking.for myself or organization:
CHECK ONE: 3/
❑ I wish to speak on Agenda Item # Date: � ld
My comments will be:. ❑ General ❑ For ❑ Against
❑ I wish to speak on the subject of: D Y D r� 6 0 VS f�liva
❑ I do not.wish to speak but would 1ike to leave these comments for the Board to consider:
Please see reverse for instructions and important information