Item 5 Southlake City Council meeting
Public Comment Form
Please print. Return completed form to City Secretary prior to start of regular session.
Name: e c.A LJc()4 Date: Z.I
Address: 1(Z v4C. ( • , SD it)4.11�,,1c,,L, Phone: St7- '7b -6008
(Include City and S4.1.1
te)
I wish to share'____ a n an Agenda Item:
Agenda It;'
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
4I wish to speak during Public Forum,on an item not on tonight's agenda
Topic: 1.A, 1--1i.
Note: To allow everyone an otppo ity to be heard,please limit your comments to 3 minutes.
l f Signature: VI 1))
Required: Cards will not be read into the record unless it is signed