Cityof
Santa Clara
CITY COUNCIL WRITTEN PETITION
- 1
Please provide the information requested below. When complete, please submit to the City Clerk's Office, 1500 Warburton Avenue, Santa Clara, CA 95050. / / Date: ~7 _ l l-7-,, '7_
1,(Mr!'/tltS ·Cua,,/v-0{ {D , am hereby requesting to be placed on the Santa Clara City Council Agenda for the following purpose:
\S"'h ~ l\ /)A, aclvti.s£ ioo ±t1\L o:+ C, o/6 be adtleJ ±o i~\(_ ±,d:rt rr-/(;e ~I o±b-e,r r.b00J:e iho± cd+MJ:'.ei; f£i!J to_ I 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:~ u uJ;Jfc
ADDREss: I q 7lf HoM0:s feati R&
Street
City Zip Code
TELEPHONE:* (lf D~) Jq'/- tYUl(
Optional
DATE: __ 7__,_/_7~/_·2.,_L _____ _
*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. i
S:\CityClerk\FORMS AND INFORMATION FOR STAFF USE\Written Petition Form - 2016.doc