Rauph Wimp Southlake City Council meeting
Public Comment Form
(.0e)
Please print.'1 /tit
completed form to City Secretary prior to start of regular session.
Name: P/�l VQ Vc r t Date: 6
Address: C1e1 mos Avrti GG ulA'►Wg. Phone: (74g7--2-172--
(Include
7 24'7 2 R_(Include City and State)
1.*.r I wish to share my views on an Agenda Item:
Agenda Item# -1. )-(94D,,,speak in SUPPORT of this item
Ir 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 eve one an opportunity to be heard,please limit your comments to 3 minutes.
Signature:
Required: Car will t be read a e record unless it is signed.