Item 5 - Collen Golestan Southlake City Council meeting
Public Comment Form
Please print. Return completed form to City Secretary prior to start of regular session.
�1ame: ( OLLFçf\( 6-0 LE-5 I n Date: e" ICE 22
kddress: �0� ��y.S�nl 1AYf y Phone: l(1"g5-G1 037
(Include City and State)
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
Vi I wish to speak during Public Forum on an item not on tonight' s agenda
CUL f U R E
Vote: 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.