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2. Reason for Speaking: *
   -- Select One --General Public Comment (Item not listed on agenda)Agenda Item
3. Agenda Item:

   If speaking to an agenda item, please list the item number or title.

7. First Name
8. Last Name
10. Organization:
12. Address:
14. Phone Number:
15. Email Address:

19. Public Comment speakers will be heard for 3 minutes. The signing of this form is voluntary. All persons may attend this meeting regardless of whether a person completes this form (Government Code Section 54953.3). In accordance with the California Public Records Act, any information you provide will be available to the public.

21. Signed:
22. Date:
    Date:
24. Upload Written Comment (optional)
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field