REQUEST TO SPEAK FORM <br />City of Eugene Planning Division-Hearings Official 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 <br />sure that the names and mailing addresses of those testifying are correct and become part of the record. Anyone wish- <br />ing to testify should fill out this form. People speaking at the hearing as well as those submitting written testimony will <br />be notified of the decision by mail (if mailing address is provided) <br />Meeting Date: 9/12/18 <br />Project Name: U of O North Campus <br />Please print clearly M <br />Name: 1 Jet, <br />e <br />Mailing Address: iA9 2_5 G kA Sāœ“ i 4-e 100 -C' <br />City, State, Zip: 3 q d <br />7 tt <br />Are you (please check one) <br />ā‘ Speaking in favor <br />Speaking Against <br />Neutral <br />ā‘ Do not wish to speak but would like to be notified of the decision <br />PLEASE RETURN FORM TO CITY OF EUGENE STAFF <br />