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PLANNING COMMISSION <br /> TESTIMONY SIGN-UP <br /> PRINT CLEARLY <br /> Name: Cfl Date: <br /> Representing: IACY� \hQ\u veRop4/04-4 <br /> Mailing Address" �.�'� -1 1, \ d cciv- o , -'. 9' 10.7g-s- <br /> Phone Number(s):C #1—V (Business) (Residence) <br /> Name of Applicant or Agenda Item #: : <br /> When do you want to testify? (You may only select one): ❑At beginning of Hearing <br /> ' ❑When Agenda Item is called <br /> Are you submitting written testimony at the hearing? Yes E No El I'd at mtg by 4GC <br /> Dtat'd— --�� <br /> d <br /> Submit form'and'written;testimony to staff m ber. <br /> PTLB � <br /> fly l <br /> Be succinct - Limit testimony to new information—'Speak directly into the microphone Sfi <br />