01
72.4 KB
Public Comment
72.4 KB
Extracted
AI Summary
This document is a public comment request form intended for individuals who wish to address the Board, Committee, or Commission. It includes options for indicating support, opposition, or neutrality regarding an agenda item, as well as a section for written comments.
Key points
- The document is a public record under the California Public Records Act.
- Individuals can fill out the form to address the Board, Committee, or Commission.
- Options are provided for expressing support, opposition, or neutrality on an issue.
- There is a section for written comments if the individual does not wish to speak.
Limitations
- The form contains many placeholders and incomplete fields.
- Specific details such as the agenda item number and personal information are missing.
Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.
Extracted text preview · 804 chars
REQUEST TO SPEAK FORM This document is a public record, subject to disclosure under the California Public Records Act. This document may also be added to the meeting materials posted on the County website lf you wish to address the Board, Committee, or Commission, please fill out this form and place it in the container provided 5 lr% lzu For lssue n NAME (OPT|ONAL) Against lssue ItqJ n AGENDA ITEM NO. lt=_ [3rLr C Cc2 $.^OAg s-)\* Written comments for the record only n Neutral n Decline to State PLEASE PRINT CLEARLY n oRGAN TZAT|ON (OPTtONAL) PLEASE PRINT CLEARLY ADDRESS (OPT|ONAL): PLEASE PRINT "lf you want to provide written comments for the record only, and you do NOT wish to address the Board, Committee, or Commission orally, please write comments below: ffislaz nrv nlrs