~~ ~~ ~q city of
`~ ' '~'` Santa Clara
CITY COUNCIL WRITTEN PETITION
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Please provide the information requested below. When complete, please submit to the City Clerk's Office, 1500 Warburton Avenue, Santa Clara, CA 95050.
Date: t~'9~:r~(~ i ~ .2c.t2
~ co u~e~ ~~~ ~Ci-~"V wil~ (~5~ H)`.3,~~~ cr w.o,~e :~~~ c~r~ ivie9uo'+<<~/~. understand that it is important that I attend the meeting in the event there are any questions the Council wishes to ask me.
Signed:
NAME: ~~---
ADDRESS: ~~~ J I~;~ ~J~
Street
r
City Zip Code
TELEPHONE: ~~ c ; c~~ a ~ Ct hnnJ I ., C_'o tv~
ptional `
DATE: 1~/I ra rc ~ ~ i ~ ° '~
`NOTE: This is a public document. If your telephone number is unlisted or if you do not want it to be public, please provide an alternate number where you can be reached.
S:\Ci~yClerkIFORMS AND INFORMATION FOR STAFF USE\Writien Pelilion Form - 2016.doc I, c~oSep~ ~-sz:sc~~l , am hereby requesting to be placed on the Santa Clara City ouncil Agenda or the following purpose: