Comment Card - Item 4G Southiake City Council meeting
Public Comment Form
Please print. Return completed form to City Secretary prior to start of regular session.
Name: fi7.?1(_k `7 Date: /o 2r te
Address: 3i-if C,x F-r t 6,9X/ 0-01-44 ) ( 1( 0/Z Phone: 4817- �'7 2� V $c,
(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
KI do not wish to speak, but please record my
SUPPORT ic OPPOSITION
I wish to speak during Public Forum on an item not on tonight's agenda
Topic:
Note: To allow everyone an opportun o be heard,please limit your comments to 3 minutes.
Signature:
Required: Cards will not be read into e record unless it is signer