Speaker Card - Item 4GSouthlake City Council meeting
Public Comment Form
Please print. Return completed form to City Secretary prior to start of regular session.
Name: ❑U4N,^ �Aq,) , Date: \ I 1
Address: J- C- ,, M(.
(Include City and State)
❑ I wish to share my views on an Agenda Item:
Agenda Item #
I will speak in SUPPORT of this item
I will speak in OPPOSITION to this item
o not wish but please record my
SUPPOR' OPPOSITION
❑ I wish to speak during Public Forum on an item not on tonight's agenda
Topic:
Note. To allow everyone an
Signature:
Required. Cars will not b
to be heard, please limit your comments to 3 minutes.
into the record unless it is signed
Phone: C? VoA(�P t !