HomeMy WebLinkAbout2013 04 15 Public InputDate: April 15, 2013
The attached two (2) Public Input forms were
noted for the Record by Mayor Lacey during the
April 15, 2013 City Commission Workshop.
NOW 6
CITY OF WINTER SPRINGS, FLORIDA
"PUBLIC INPUT" -REQUEST TO SPEAK*
PLEASE COMPLETE THIS FORM IF YOU WISH TO ADDRESS THE CITY COMMISSION
ON ANY SUBJECT
}} DATE:
NAME: C rt ►' �, (,� cr = _, ; ;t,
(Flease rmt
ADDRESS: ( / 6 L ('.,- f --
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CITY: 0/' L,6,r S,2rt hA *5 STATE: L ZIP CODE: 3a 7 of
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TELEPHONE NUMBER: ( 4l()'Z) 3 bS —Y53? email: BOACUCSC
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Just enter your email address below and select which alerts/notifications you would like to receive. (Note: You will receive
a confirmation email within 3 business days that you must respond to).
email: (Please Print)
_ Missing Persons and Children Alerts _ Major Traffic Alerts _ Health Risk Alerts Criminal Alert Bulletin
_ Sexual Predators Living In City _ Gas Leak Alerts Boil Water Alerts Bomb Threat Alerts
Hazardous Waste Spills _ Hurricane and Tornado Information Scam and Fraud Alerts
City News, Information and Newsletters _ Job Openings _ Special Events
Inform Me of New Items Added to This List
To address the City Commission on an Agenda Item that is on Tonight's Agenda, please complete
1. through 3. listed below.
1. WHICH AGENDA ITEM DO YOU WISH TO COMMENT ON?
2. FOR THE RECORD, ARE YOU: IN FAVOR OPPOSED ✓
3. DO YOU WISH TO VERBALLY ADDRESS THE CITY COMMISSION ON THIS AGENDA ITEM?*
YES NO, I DO NOT WISH TO VERBALLY ADDRESS THE CITY COMMISSION n%
To address the City Commission on a subject that is not on tonight's Agenda, please complete the
following next question:
WHAT SUBJECT WOULD YOU LIKE TO ADDRESS THE CITY COMMISSION ABOUT?
Please use this space for any other comments you may wish to share:
r t* kccrJ Guf,
Revised 9/13/10 For important information, please see other side - Thank you for your participation.
CITY OF WINTER SPRINGS, FLORIDA
"PUBLIC INPUT" -REQUEST TO SPEAK*
PLEASE COMPLETE THIS FORM IF YOU WISH TO ADDRESS THE CITY COMMISSION
ON ANY SUBJECT c�
DATE:
NAME: -J • t
ease not
ADDRESS: I to f��, / lr
(Please not
CITY: U J - �.% >^t STATE: ZIP CODE:
(Please rmt
2 � I
TELEPHONE NUMBER: 40) 3 3 email: yh ( P_ Q ? 0 1'�Cto F r c� yPt
STAY INFORMED WITH eAlerts/eCitizen!
Sign up today to get up to the minute notifications via your email inbox! Sign up is simple, free, and will take only a minute.
Just enter your email address below and select which alerts/notifications you would like to receive. (Note: You will receive
a confirmation email within 3 business days that you must respond to).
email: (Please Print)
_ Missing Persons and Children Alerts _ Major Traffic Alerts Health Risk Alerts _ Criminal Alert Bulletin
Sexual Predators Living In City _ Gas Leak Alerts _ Boil Water Alerts _ Bomb Threat Alerts
Hazardous Waste Spills _ Hurricane and Tornado Information _ Scam and Fraud Alerts
City News, Information and Newsletters Job Openings _ Special Events
Inform Me of New Items Added to This List
To address the City Commission on an Agenda Item that is on Tonight's Agenda, please complete
1. through 3. listed below.
1. WHICH AGENDA ITEM DO YOU WISH TO COMMENT ON?`�
2. FOR THE RECORD, ARE YOU: IN FAVOR OPPOSED _ ff ` k
3. DO YOU WISH TO VERBALLY ADDRESS THE CITY COMMISSION ON THIS AGENDA ITEM?*
YES NO, I DO NOT WISH TO VERBALLY ADDRESS THE CITY COMMISSION
To address the City Commission on a subject that is not on tonight's Agenda, please complete the
following next question:
WHAT SUBJECT WOULD YOU LIKE TO ADDRESS THE CITY COMMISSION ABOUT?
Please use this space for any other comments you may wish to share:
Revised 9/13/10 For important information, please see other side - Thank you for your participation.