Item 6H Southlake City Council meeting
Public Comment Form
Please print. Return comple � retary prior to start of regular session.
Name: / S c�G� � lek
Date: IZ I)21
Address: 11 n 0 o, a S Phone: 1-1 y- L111-111
(Include City and State)
gI wish to share my views on an Agenda Item:
Agenda Item #
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 oppo nity to be heard,please limit your comments to 3 minutes.
Signature: AL
Required: Cards will not be read into the record unless it is signed