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Home My WebLink About2016 10 24 Consent 303 Public Input Form Revisions &200,66,21$*(1'$ ,QIRUPDWLRQDO &RQVHQW ; ,7(0 3XEOLF+HDULQJV 5HJXODU 2FWREHU.6$/// 5HJXODU0HHWLQJ&LW\0DQDJHU'HSDUWPHQW 5(48(67 5HTXHVWLQJWKH&LW\&RPPLVVLRQFRQVLGHUDSSURYLQJWKHSXEOLFLQSXWIRUPSXUVXDQWWR 2UGLQDQFH1R 6<1236,6 2UGLQDQFH1RUHFHQWO\DGRSWHGE\WKH&LW\&RPPLVVLRQUHTXLUHVWKH&LW\ &RPPLVVLRQWRDSSURYHWKHSXEOLFLQSXWIRUPXVHGGXULQJ&LW\&RPPLVVLRQPHHWLQJV7KH &LW\&OHUNLVSUHVHQWLQJWKHSXEOLFLQSXWIRUWKH&LW\&RPPLVVLRQ¶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ŽŶƐĞŶƚϯϬϯW'ϭK&ϮͲKĐƚŽďĞƌϮϰ͕ϮϬϭϲ &20081,&$7,21())2576 7KLV$JHQGD,WHPKDVEHHQHOHFWURQLFDOO\IRUZDUGHGWRWKH0D\RUDQG&LW\&RPPLVVLRQ &LW\0DQDJHU&LW\$WWRUQH\6WDIIDQGLVDYDLODEOHRQWKH&LW\¶V:HEVLWH/DVHU)LFKHDQG WKH&LW\¶V6HUYHU$GGLWLRQDOO\SRUWLRQVRIWKLV$JHQGD,WHPDUHW\SHGYHUEDWLPRQWKH UHVSHFWLYH0HHWLQJ$JHQGDZKLFKKDVDOVREHHQHOHFWURQLFDOO\IRUZDUGHGWRWKHLQGLYLGXDOV QRWHGDERYHDQGZKLFKLVDOVRDYDLODEOHRQWKH&LW\¶V:HEVLWH/DVHU)LFKHDQGWKH&LW\¶V 6HUYHUKDVEHHQVHQWWRDSSOLFDEOH&LW\6WDII0HGLD3UHVV5HSUHVHQWDWLYHVZKRKDYH UHTXHVWHG$JHQGDV$JHQGD,WHPLQIRUPDWLRQ+RPHRZQHU¶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ŽŶƐĞŶƚϯϬϯW'ϮK&ϮͲKĐƚŽďĞƌϮϰ͕ϮϬϭϲ CITY OF WINTER SPRINGS, FLORIDA [[564,239,1243,315][16][,I,][Arial]]PUBLIC INPUT FORM [[1239,239,1258,315][16][,I,][Arial]] [[1258,239,1295,315][16][,I,][Arial]]– [[1294,239,1313,315][16][,I,][Arial]] [[1313,239,1992,315][16][,I, ][Arial]]REQUEST TO SPEAK [[1986,239,2022,315][16][,I,][Arial]] Please complete this form if you wish to address the Mayor and City Commission on any subject. ADDRESSING THE MAYOR AND CITY COMMISSION [[908,489,1194,546][12][B,I,][Arial]]Please print [[1192,489,1206,546][12][B,I,][Arial]] [[1206,489,1471,546][12][B,I,][Arial]]clearly and [[1467,489,1481,546][12][B,I,][Arial]] [[1481,489,1630,546 ][12][B,I,][Arial]]neatly [[1626,489,1643,546][12][B,I,][Arial]]! [[1642,493,1668,545][11][B,I,][Arial]] Date: Name: Address: City: State/Zip Code: Email: GUIDELINES ON WHEN TO SPEAK:  [[208,1237,484,1290][11][,I,][Arial]]Consent (300 [[484,1237,516,1290][11][,I,][Arial]]’s [[513,1237,899,1290][11][,I,][Arial]]) and Regular (500 [[899,1237,931,1290][11][,I,][Arial]]’s [[928,1237,1255,1290][11][,I,][Arial]]) Agenda Items [[1255,1237,2201,1290][11][,I,][Arial]]and miscellaneous matters not on the Agenda [[2201,1237,2412,1290][11][,I,][Arial]]should be [[678,1284,706,1318][7][B,I,][Arial]]st [[208,1290,425,1343][11][,I,][Arial]]addressed [[423,1290,435,1343][11][,I,][Arial]] [[435,1290,652,1343][11][,I,][Arial]]during the [[652,1290,678,1342][11][B,I,][Arial]]1 [[703,1290,716,1342][11] [B,I,][Arial]] [[716,1290,864,1342][11][B,I,][Arial]]Round [[861,1290,874,1343][11][,I,][Arial]] [[874,1290,1167,1343][11][,I,][Arial]]of Public Input [[1164,1290,1189,1343][11][,I,][Arial]]  [[208,1346,507,1399][11][,I,][Arial]]Public Hearing [[507,1346,530,1399][11][,I,][Arial]]s [[530,1346,543,1399][11][,I,][Arial]] [[543,1346,634,1399][11][,I,][Arial]](400 [[634,1346,666,1399][11][, I,][Arial]]’s [[663,1346,1103,1399][11][,I,][Arial]]) Agenda Items have [[1103,1346,1383,1399][11][,I,][Arial]]separate and [[1383,1346,1837,1399][11][,I,][Arial]]dedicated Public Input [[1834,1346,1847,1399][11][,I,][Arial]] [[1847,1346,1936,1399][11][,I,][Arial]]and [[1936,1346,2386,1399][11][,I,][Arial]]any Public Input must [[208,1398,830,1451][11][,I,][Arial]]be given during the applicable [[830,1398,1141,1451][11][,I,][Arial]]Public Hearing [[1140,1398,1401,1451][11][,I,][Arial]]Agenda Item [[1400,1398,1425,1451][11 ][,I,][Arial]]  [[1268,1452,1305,1486][7][B,I,][Arial]]nd [[208,1458,736,1511][11][,I,][Arial]]Miscellaneous comments [[736,1458,1242,1511][11][,I,][Arial]]may be made during the [[1242,1458,1268,1510][11][B,I,][Arial]]2 [[1304,1458,1316,1511][11][,I,][Ar ial]] [[1316,1458,1490,1511][11][,I,][Arial]]optional [[1490,1458,1930,1511][11][,I,][Arial]]Round of Public Input [[1928,1458,2250,1511][11][,I,][Arial]], if time permits. Would you like to address a topic that IS on this Agenda? 1. Which Agenda Item do you wish to comment on? OR 2. For the Record, regarding the Agenda Item above, are you IN FAVOR OPPOSED ? 3.a) Do you wish to verbally address the Mayor and City Commission on this Agenda Item? * OR YES NO * NO 3.b) If you said to 3.a), but wish to submit a brief statement for the record of the meeting, please use the space below to note your comments ([[1129,2164,1587,2221][12][B,I,][Arial]]please print clearly [[1583,2164,1599,2221][12][,,][Arial]]) [[1599,2164,1612,2221][12][,,][Arial]]: [[1612,2164,1639,2221][12][,,][Arial]] ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Would you like to address a topic that is NOT on this Agenda? () Please use the space below for your comments [[1201,2745,1658,2802][12][B,I,][Arial]]please print clearly [[1671,2745,1684,2802][12][,,][Arial]]: [[1684,2745,1711,2802][12][,,][Arial]] __________________________________________________________________________________ __________________________________________________________________________________ [[1119,3106,1131,3150][9][,I,][Arial]] [[1131,3106,1938,3150][9][,I,][Arial]]For important information, please see other side [[1938,3106,1951,3150][9][,I,][Arial]]- [[1950,3106,1961,3150][9][,I,][ Arial]] [[1961,3106,1972,3150][9][,I,][Arial]]t [[1972,3106,2272,3150][9][,I,][Arial]]hank you for your [[2272,3106,2364,3150][9][,I,][Arial]]input! Revised 10/18/2016 [[416,3111,1119,3149][8][,I,][Arial]] [[2363,3111,2381,3149][8][,I,][Arial]] GUIDELINES ON HOW TO ADDRESS THE MAYOR AND CITY COMMISSION: [[1275,363,1306,428][14][,I,][Arial]] 1. Please complete this form and present it to the City Clerk BEFORE the [[1275,430,1306,495][14][,I,][Arial]] Meeting begins; then be seated. [[1275,497,1306,562][14][,I,][Arial]] [[1275,564,1306,629][14][,I,][Arial]] 2. When your name is called, please promptly approach the podium, and using [[1275,631,1306,696][14][,I,][Arial]] the microphone, clearly state your name and address for the Record. [[1275,698,1306,763][14][,I,][Arial]] 3. Individual comments must be limited to 3 minutes, and persons representing [[1275,765,1306,830][14][,I,][Arial]] a recognized group or organization will be limited to 5 minutes, unless [[1275,832,1306,897][14][,I,][Arial]] otherwise provided under City Commission Rules and Procedures. [[1275,899,1306,964][14][,I,][Arial]] [[1275,967,1306,1032][14][,I,][Arial]] 4. If you are speaking on behalf of a group or organization, please state the [[1275,1034,1306,1099][14][,I,][Arial]] name of the group or organization for the record. [[1275,1101,1306,1166][14][,I,][Arial]] 5. If you are representing a company or organization, it would be very helpful if [[1275,1168,1306,1233][14][,I,][Arial]] you could please provide to the City a business card for the Record. [[1275,1235,1306,1300][14][,I,][Arial]] [[1275,1302,1306,1367][14][,I,][Arial]] 6. If you have a written statement, please provide that to the City Clerk for the [[120,1369,151,1434][14][,I,][Arial]] Record. [[703,1436,1037,1501][14][,I,][Arial]]In accordanc [[1036,1436,1676,1501][14][,I,][Arial]]e with "Roberts Rules of [[1676,1436,1849,1501][14][,I,][Arial]]Order" [[1846,1436,1877,1501][14][,I,][Arial ]] [[709,1503,1765,1568][14][,I,][Arial]]civility and respect should be afforded to [[1765,1503,1826,1568][14][,I,][Arial]]all [[1823,1503,1840,1568][14][,I,][Arial]]. NOTES: - Please address all comments to the Mayor or the presiding officer, even if you wish toask a specific question to someone else. All comments are channeled through the presiding officer. - If you are showing ANY documents, photographs, maps, etc. to anyone on the dais, please note thatthe "Original" or a duplicate copy will be considered a public record and will be kept as part of the Record. - If you are presenting ANY documents, photographs, maps, etc. to the City Commission at the meeting, please notethat nine (9) copies should be provided to the City Clerk so each person on the dais is afforded a copy to review. Should you need additional space for any other written comments, please use the below area – (): [[137,2243,168,2300][12][B,I,][Arial]]p [[168,2243,594,2300][12][B,I,][Arial]]lease print clearly ____________________________________________________________________________________ ____________________________________________________________________________________ PLEASE BE ADVISED THAT THIS PUBLIC RECORD FORM IS A PUBLIC RECORD AND IS SUBJECT TO PUBLIC DISCLOSURE UNDER FLORIDA LAW. FURTHER, THE CITY COMMISSION MEETINGS ARE SUBJECT TO APPLICABLE LAWS AND THE RULES AND PROCEDURES ADOPTED BY THE CITY COMMISSION INCLUDING, BUT NOT LIMITED TO, CHAPTER 2, ARTICLE II OF THE WINTER SPRINGS CITY CODE. [[1166,3106,1730,3150][9][,I,][Arial]]To complete this form, please see [[1730,3106,1741,3150][9][,I,][Arial]] [[1741,3106,1915,3150][9][,I,][Arial]]other side [[1915,3106,1928,3150][9][,I,][Arial] ]- [[1928,3106,1938,3150][9][,I,][Arial]] [[1938,3106,1949,3150][9][,I,][Arial]]t [[1949,3106,2250,3150][9][,I,][Arial]]hank you for your [[2250,3106,2341,3150][9][,I,][Arial]]input! Revised 10/18/2016