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CITY OF SANTA ANA <br />REQUEST TO SPEAK <br />PUBLIC HEARING ONLY <br />Internal Use Only <br />Speaker Called: <br />Translation Requested:_ <br />Meeting Date: I7 ZI <br />Providing the following information is strictly voluntary. Only your name will appear in the official Minutes <br />of this Council Meeting; other information may be used by the City Council or staff to contact you. <br />PUBLIC HEARING AGENDA ITE O. ❑ <br />NAME �i C �� d No — <br />ORGANIZATION <br />(if applicable) <br />HOMEIWORK PHONE NO. E-MAIL ADDRESS <br />(please indicate one) <br />HOMEIWORK ADDRESS <br />CITY <br />ZIP CODE <br />