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 />sv~o C4~ <br />Name: <br />Mailing Address: qT 1 . <br />V <br />Agenda Item/Application Name: ; 0 n I Qu~~ <br />V `1~ V <br />PLE4ySk CHECK ONE OF THE BOXES BELOW. <br />C~king in favor <br />a/ <br />❑ Against/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 />