Paul Budvitis Southlake City Council meeting
Public Comment Form
Please print. Return completed form to City Secretary prior to start of regular session.
Name:R( .tA �� l c(� t ', Date: 0-'14 Z�
Address: 9/ C 5: OCIe n'P►f Phone: 2tq, D2.(pLeNt
(Include City and State)
RI I wish to share my views on an Agenda Item:
Agenda Item#Sart41l''
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 a ,opportu °ty to be heard,please limit your comments to 3 minutes.
Signature:
Required: Cards will not be read into the record unless it is signed