HomeMy WebLinkAbout2017-04-04 Adam Pinterits - Ethnobotanica Medical CannabisSLO CITY CLERK
MUNICIPAL ADVOCATE
REGISTRATION FORM
Any person engaged in Municipal Advocacy as defined by SLO Municipal Code Section 2.64.020 is
required to register with the City Clerk. This form shall remain in full force and effect until such time as
the Municipal Advocate notifies the City Clerk of termination of such status.
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DATE:
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NAME:
CITY OF RESIDENCE:
OCCUPATION: rector f 6o+����1V`1G� C:JMMc,I�i y 4045
PRINCIPAL PLACE OF BUSINESS:L4-61- �r5 a °9 V �if� l ol.�✓IfiC'S
NATURE & PURPOSE OF BUSINESS OR ORGANIZATION: P1 1.CCA t)401 �i S
ADDRESS: "r PHONE:
CLIENT: J -z I o jo6 di c -j n
(9105) 6L
CLIENT'S ADDRESS: � ! /t6'S PHONE: W7) (6 `d 3354
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LEGISLATIVE ACTION YOUR CLIENT HAS AN INTEREST IN INFLUENCING:
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DATE NO LONGER ACTIVE FOR CLIENT ON THIS ISSUE:
I swear, under penalty of perjury, that the information provided herein is correct.
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