HomeMy WebLinkAbout2017-10-14 Ashley Blacow - Ocean Conservation Non-ProfitOCT 04 2011
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MUNICIPAL
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.
DATE: ,1084-7
NAME:
CITY OF RESIDENCE:
OCCUPATION:
[J
PRINCIPAL PLACE OF BUSINESS:
NATURE & PURPOSE OF BUSINKSS OR ORGANIZA
ADDRESS: cn � � PHONE: — L3, 1 -a -D 0
La,
CLIENT:
CLIENT'S ADDRESS:
PHONE:
LEGISLATIVE ACTION YOUR CLIENT HAS AN INTEREST IN INFLUENCING:
DATE NO LONGER ACTIVE FOR CLIENT ON THIS ISSUE:
I swear, under penalty of perjury, that the information provided herein is correct.
Signature o unicipal Advocate
U/Municipal Advocate/Form