Dianne Dorman Southlake City Council meeting
Public Comment Form
Please print. Return completed form to City Secretary prior to start of regul sess. n.
Jame: povute Cuyfri(24. Date:
1 tddress: t(� 1 c Phone:_
(Include City and State)
Agenda Item#
I will speak in SUPPORT of this item
I will speak in OPPOSITION to this item
I do rot wish to speak, but please record my
SUPPORT OPPOSITION
I wish to speak during Public Forum n an item not on tonight' s agenda
Topic: (1 1 - i
f(-09
Vote: To allow everyone an opportunity to be eard,please limit your comments to 3 minutes.
Signature:
Required: Cards will not be read in e reco u less it is signed