HomeMy WebLinkAbout2021 08 30 City Commission Special Meeting Public Input Forms Revised 06/14/2021
1"HIS FORM IS PUBLIC RECORD. Individuals comments are limited to 3 minutes and
persons representing a group or organization are limited to 5 minutes, unless othemise
determined by the City Commission
CITY OF WINTER SPRINGS, FLORIDA- PUBLIC INPUT FORM
Please print cfearlvard neatly
Date: Name:— C .
Address: _e
Email:-------- Phone# (optional): 4, ;' c'';:
Do you wish to verbally address the Commission with regard to an issue?_*Yes ❑ No
t
lfyou mark IVo'above, the Alayor or presiding Commissioner tiwill indicate your noted support or
opposition for the record but will not call you forward to speak
On the Agenda 4f'Item Number:_ 570`
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED ❑
Not on the Agenda ❑ Subject v _
CITY OF WINTER SPRINGS, FLORIDA- PUBLIC INPUT FORM
Please D�int clear and neattv
is i fti ;fi {
Date: 1 - — Name: -
Address:
Email r� � `''f �` ° Phone # (optional): lam'' 47?
Do you wish to address the Commission with regard to an issue: Z Yes ❑ No
lfyou mark 'No'above, the Mavor or pr esiding Commissioner will indicate your noted support or
opposition for the record tvt will not call you forward to soeak.
Can the Agenda ❑ Item Number:
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED ❑
Not on the Agenda ❑ Subject:
Revised 06/14/2021
THIS FORM IS A PUBLIC RECORD. Individuals comments are limited to 3 minutes and
persons representing a group or organization are limited to 5 minutes, unless otherwise
determined by the City Commission
CITY OF WINTER SPRINGS. FLORIDA- Pl,1BLIC INPUT FORM
81042e print c ear(tsand ng9tl�(
Dater Name: - 4C '6Llv�4— L
Address:
Email:1f7 �,rJ�/�Lzt" !f G�R.1 Q4 l� Oc�J'• 1 �� fit' /
_ hone# (optional):
Do you wish to address the Commission with regard to an issue: V4,11yes ❑ No
rfyou mark'No'sbove, the Mayor or presiding Commissioner will indicate your noted support or
opposition for the record but will not call you forward to speak.
On the AgendaA Item Number: 5_0 Z
_ y
For the record, regarding this agenda item,are you IN FAVOR M or OPPOSED ❑
Not on the Agenda l-i Subject:
Revised 06/14/2021
THIS FORM 1S A PUBLIC:RECORD. Individuals comments are limited to 3 minutes and
persons representing a group or otgarzrzation are limited to 5 minutes, unless otherwise
determined bjl the City Commission
Revised 05/0612021
THIS FORM IS A PUBLIC RECORD. Individuals commenrs are limited to 3 minutes and
persons representing a group or organization are limited to 5 minutes, unless otherwise
determined by the City Commission
CITY OF WINTER SPRINGS. FLORIDA - PUBLIC INPUT FORM
Please print cieaC/y and.ne4r�
Date: €' Name: -
Address:
Email: , LIL2, -Phone# (optional):
Do you wish to verbally address the Commission with regard to an issue? ❑ 'Yes ❑ No
If you mark `No'above, the Mayor or presiding Commissioner will indicate your noted support or
opposition for the record but will not call you forward to speak.
On the Agenda [-item Iurl�ber
'e_ C�
For the record, regarding this agenda item, are you IN FAVOR• or OPPOSED ❑
Not on the Agenda ❑ Subject:
Revised 05/06/2021
THIS FORM IS PUBLIC RECORD. Individuals comments are limited to 3 minutes and
persons representing a group or organization are limited to 5 minutes, unless otherwise
determined by the City Commission
CITY OF WINTER SPRINGS, FLORIDA - PUBLIC INPUT FORM
,Please rint clear) and neat)
Date:A Name: ►1 ;S yl
Address: ,( +
Email: _—_ one# (optional):
Do you wish to verbally address the Commission with regard to at-, issue? ❑ Yes ❑ No
if you marls 'No'agave, the Mayor or presiding Commissioner will indicate your noted support or
opposition for the record but will not call You forward to speak.
On the Agenda ❑ item Number:
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED ❑
Not on the Agenda __! Subject:
Revised 06/14/2021
THIS FORD'lSA PUBLIC RECORD. Individuals comments are limited to 3 minutes and
persons representing a group or organization are limited to 5 minutes, unless otherwise
determined by the City Commission
I
CITY OF WINTER SPRINGS. FLORIDA- PUBLIC INPUT FORM
P ase prtntc/ear and eat)
Date: Name-
Address: _ ' �� '�
Email: Phone# (optional):
J
Do you wish to verbally address the Commission with regard to an issue? ❑ Yes ❑ No
If you mark 'No'above. the Mayor or presiding Commissioner will indicate your noted support or
opposition for the record but will not call you forward to speak.
On the Agenda _D Item Number:
For the record, regarding this agend Item, are you IN FAVOR Elor OPPOSED ❑
Not on the Agenda ❑ Subject: (7 rP��)N"
Revised 06/14/2021
THIS FORM IS A PUBLIC RECORD. Individuals comments are limited to 3 minutes and
persons representing a group or organization are limited to 5 minutes, unless otherwise
determined by the City Commission
CITY OF WINTER SPRINGS, FLORIDA- PUBLIC INPUT FORM
Please print clearlyand head
f
Date: � Name:! i � �- L 0
Address: � � rV J A..r> I 'ZI, —
Email: 4krl,Ci,4/I Phone# (optional):
Do you wish to verbally address the Commission with regard to an issue? ❑ Yes ❑ No
Ifyou mark 'No'above, the Mayor or presiding Commissioner will indicate your noted support or
opposition for the record but will not call you forward to speak
On the Agenda . Item Number:
For the record, regarding this agenda item, are you IN FAVOf��] or OPPOSED ❑
Not on the Agenda ❑ Subject: _