Marissa Maron Southlake City Council meeting
Public Comment Form
Please print.
+ V Return
,ccompleted form to City Secretary prior to start of regular session.
Name: (Y1 oar 1550 Ma II Date: 5 )1 g )2
Address: 21 Q Ve( C VAS k St Gra(V I vol'\1\ Phone: O fl
(Include City and State)
"-NO SI 115 O 5L
I wish to share my views on an Agenda Item:
Agenda Item# ?fib CPE
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
SUPPORT OPPOSITION
I wish to speak during Public Forum on an item not on tonight's agenda
Topic:
Note: To allow everyone an opportunity to be heard,please limit your comments to 3 minutes.
Signature:
Required: Cards will not be read into the record unless it is signed