Victor Avila Southlake City Council meeting
Public Comment Form
Please print. Return completed form to City Secretary prior to start of regular session.
Name: V1e2_ V(t i4 Date: ,5"--/(J 4:7(/
Address: 0076 �G� jdd Y'1 /k ', 3t c � 611 ,x Phone: lea-- W3 79758
(Include City and State)
Y`f
Mwish to share my views on an Agenda Item:
Agenda Item# (05
I will speak in SUPPORT of this item
V I will speak in OPPOSITION to this item
I do not wish to speak, but please reco my
SUPPORT VOPPOSITION
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