Ed Hernandez Southlake City Council meeting
Public Comment Form
Please print. Return completed form to City Secretary prior to start of regular session.
Name: �� Date: aU
Address: 200( J'4tLOA> Phone: '81) 3 l O 4
�
,✓ (Include City and State)
Y I wish to share my views on an Agenda Item:
Agenda Item # :4 71 — 2`aa
I will speak in SUPPORT of this item
I will speak in OPPOSITION to this item
do not wish to speak, but please record my
SUPPORT ✓ OPPOSITION
I wish to speak during Public Forum on an item not on tonight's agenda
Topic:
Note: To allow everyon• •j 0p o i nity to beh ear,pl a limit your comments to 3 minutes.
Signature: A �/
Required: Cards w 1 •t be ad into the record less it is signed
PS