REQUEST TO SPEAK AT PLANNING COMMISSION PUBLIC HEARING <br />The purpose of this form is to make sure that people wishing to testify have an opportunity to do so, as well as to make sure that <br />the names and mailing addresses of those testifying are correct and become part of the record. Anyone wishing to testify is re- <br />quested to fill out this form. People speaking at the hearing as well as those submitting written testimony will be notified of the <br />Planning Commission's decision by mail. <br />PLEASE PRINT CLEARLY <br />Today's Date: <br />Name: I A'tt e 60 Mailing Address: S a ' SL{l I ~i~t/~l~ ~l (✓G~ S <br />C/ 7 <br />Agenda Item/Application Name: (J <br />PLEASE CHECK ONE OF THE BOXES BELOW. Sr~ <br />❑ Speaking in favor <br />i <br />,4gainst/Opposed <br />❑ Neutral (neither in favor or opposed) <br />❑ Do not wish to speak but would like to be notified of the decision <br />Please return completed form to City of Eugene staff. <br />