Laura Campanello Southlake City Council meeting
Public Comment Form
Please print. Return completed form to City Secretary prior to start of regular session.
Name: 0 1. 1:i-tittle- PI}/Ve /10 Date: 5-71/'
Address: 35O ' , Phone:W740—.09 0 393
(Include City and State)
I wish to share my views on an Agenda Item:
Agenda Item# (0 6
I will speak in SUPPORT of this item
I will speak in OPPOSITION to this item
I do not wish to speak, but please record my
x SUPPORT OPPOSITION
I wish to speak during Public Forum on an item not on tonight's agenda
Topic:
Note: To allow everyone an opponity to be heard,please limit your comments to 3 minutes.
Signature: ..WA , LI
Required: Cards will not be read into the record unless it is signed