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HomeMy WebLinkAboutMisc. Req to Speak forms at HO PHA A NSl Request to Speak at Hearings Official Public Hearing 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 hat the names and mailing addresses of those testifying are correct and become part of the record. Any- one wishing to testify is requested to fill out this form. People speaking at the hearing as well as those submitting written testimony will be notified of the Hearings Official decision by mail. PLEASE PRINT CLEARLY Todays Date: e I Name: Mailing Address: . Agenda Item/Application Name: Please circle one of the options below Speaking in favor Speaking Against Neutral (neither in favor or opposition) Do not wish to speak but would like to be notified of the Hearings Official decision Please return completed form to City of Eugene staff. Request to Speak at Hearings Official Public Hearing -A 6AINST(~ `tom 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 hat the names and mailing addresses of those testifying are correct and become part of the record. Any- one wishing to testify is requested to fill out this form. People speaking at the hearing as well as those submitting written testimony will be notified of the Hearings Official decision by mail. PLEASE PRINT CLEARLY Todays Date: /I-Y°~DB Is Name: Mailing Address: Agenda Item/Application Name: Please circle one of the options below Speaking in favorl'Speaking Against Neutral (neither in favor or opposition) Do not wish to speak but would like to be notified of the Hearings Official decision Please return completed form to City of Eugene staff. Request to Speak at Hearings Official Public Hearing 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 hat the names and mailing addresses of those testifying are correct and become part of the record. Any- one wishing to testify is requested to fill out this form. People speaking at the hearing as well as those submitting written testimony will be notified of the Hearings Official decision by mail. PLEASE PRINT CLEARLY Todays Date: ! y ( t S Name: ~os-5 W L<< c, V-_59-1. Mailing Address: 97S F°?<<oJ/ a LK Agenda Item/Application Name: 11~~t-Ce" Please circle one of the options below Speaking in favor Sp ~st Neutral (neither in favor or opposition) Do not wish to speak but would like to be notified of the Hearings Official decision VI/ Please return completed form to City of Eugene staff. do ~rU~ Z Request to Speak at Hearings Official Public Hearing 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 hat the names and mailing addresses of those testifying are correct and become part of the record. Any- one wishing to testify is requested to fill out this form. People speaking at the hearing as well as those submitting written testimony will be notified of the Hearings Official decision by mail. PLEASE PRINT CLEARLY Todays Date: Name: 1C®uz Mailing Address: V,,)- 4 Agenda Item/Application Name: Please eife the options below Baking in favor : Speaking Against Neutral (neither in favor or opposition) Do not wish to speak but would like to be notified of the Hearings Official decision Please return completed form to City of Eugene staff. i v) Request to Speak at Hearings Official Public.Hearing / 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 hat the names and mailing addresses of those testifying are correct and become part of the record. Any- one wishing to testify is requested to fill out this form. People speaking at the hearing as well as those submitting written testimony will be notified of the Hearings Official decision by mail. PLEASE PRINT CLEARLY TodaysDate: 1h I is Name: I~~ogA C,1~D t Mailing Address: ~~f~y~G~ ~n~,~Bp~✓ ~~g ?j )i~ ,v~~e Agenda Item/Application Name: -rteAv, Please circle a of the options below Speaking in fa r Speaking Against Neutral (neither in favor or opposition) Do not wish to speak but would like to be notified of the Hearings Official decision Please return completed form to City of Eugene staff. (-D Request to Speak at Hearings Official Public Hearing 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 hat the names and mailing addresses of those testifying are correct and become part of the record. Any- one wishing to testify is requested to fill out this form. People speaking at the hearing as well as those submitting written testimony will be notified of the Hearings Official decision by mail. PLEASE PRINT CLEARLY Todays Date: 11 / q /I T' Name: 2j ELot,&vd AtAv Mailing Address: S 2, -K -6 Agenda Item/Application Name: J Please circle one of the options below Speaking in favor Speaking Against Nutral ?neither in favor or opposition) (11- D o not wish to speak but would like to be notified of the Hearings Official decision Please return completed form to City of Eugene staff.