City of
Santa Clara
CITY COUNCIL WRITTEN PETITION
Please provide the infonnation requested below. When complete, please submit to the City Clerk's Office, 1500 Warburton Avenue, Santa Clara, CA 95050. 1 J Date: /o i/3:/~oL?.__ .
,.,,~bitj,Pre-k.« Heap 'am hereby requesting to be placed on the Santa Cara C Council Agenda for the following purpose:
1a d I ::, CIA\ ) (A;ho,-J:- ,3011k C \o,,,,,,__ C ClUOL\ i:, J.,,,,; d2 '½ elp s-e.+- f:>}J\'J., e,, h~n ~Cii c K 4o Ca c;.,,, J Ut1 c pf U\ 1\--- GM'>( -Sc; c :tll\ , Vu-+di,) _ fie [e'2t- u~/ U.) b JSYl\ .:>6- ::DA<c:t ll\~ C v I\. ~ e ·+ lz UL to f"ex-U/1 a * 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: <}tvp.rJo(___ ~ -
NAME: ¥ JMo) .
ADDREss: ¼ ,5~l &we,~ C1nJe -
Street
City Zip Code
TELEPHONE:* ____________ _
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*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:\CityCierk\FORMS AND INFORMATION FOR STAFF USE\Wrltten Petition Form-2016.doc