HomeMy WebLinkAbout_2021 12 13 City Commission Regular Meeting Public Input FormsAddress:
Email:
CITY OF WINTER SPRINGS. FLORIDA - PUBLIC INPUT FORM
Please aunt clearlyand rre+a lY
Phone # (optional):
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Do you wish to 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 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 bjl the City Corrrmission
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
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CITY OF WINTER SPRINGS, FLORIDA - PUBLIC INPUT FORM
Please r�plearly and neatly
Date: f A Name:
Address:
Email: I L.I +'�' t r_!l �� Y1' 1x CA -,Phone # (optional): 741�� 'z �
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 FAVOR ❑ or OPPOSED ❑
Not on the Agenda ❑ Subject: -
CITY OF WINTER SPRINGS. FLORIDA- PUBLIC INPUT FORM
ILL I please print clear] F and neatly
Email: Phone #t (optional):
Do you wish to address the Commission with regard to an issue: ❑ Yes ❑ No
rf vou mark 'No' above. the Adayor or presiding Commissioner will indicate your noted support or
opposition for the record but will not call you forwarr to speak.
On the Agenda Item Number:
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSER ❑
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 S minutes, unless otherwise
determined by the City Commission
Revised 06/14,12021
THIS FORM IS A PUBLIC RECORD. Individuals comments are limited to 3 minutes and
persons representing a group car organization are limited to S minutes, unless otherwise
determined by the City Commission
CITY OF WINTER SPRINGS, FLORIDA- PUBLIC INPUT FORM
Please print clearly and neatly
E `( Name:
Email: i / - 'Y 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 l: ltem Number: -
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED 11 ,y f
Not on the Agenda 0 Subject: �` " -1 �`
CITY OF WINTER SPRINGS. FLORIDA- PUBLIC INPUT FORM
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Date. Name:CL"Lt'"
Address:.
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Email: _. \ �, r . I r�r,r!c'es,' Phone # (optional): ' Z 3� 6 37`
Do you wish to address the Commission with regard to an issue: Xyes ❑ No
ifVou mark 'No' above, the X-fayor or presiding Commissioner will indicate your noted support or
opposition for the record but will not call you forward to speak.
On the Agenda X Item Number:
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED
Not on the Agenda ❑ Subject:
Devised 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
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 otherrwise
determined by tho City Commission
CITY OF WINTER SPRINGS. FLORIDA - PUBLIC INPUT FORM
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Date: !' Name:{yam
Address:.�G)Lr C`? S.'
Email- Phone 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 0 Item Number:
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED ❑
Not on the Agenda ❑ Subject: — - —
Revised 06114/2021
THIS FORM IS PUBLIC RECORD. Individuals comments are limited to 3 minutes and
orrsons representing a group or organization are limited to 5 minutes, unless otherwise
determined by the City Commission
1�1 CITY OF WINTER SPRINGS, FLOPI A - PUBUC_INPUT FORM
j PRcint k raced neatly
Date: p Name:
Address:
Email: = �-t.' ( `"+�+�� ``� � _ 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 c:)r
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 D
Not on the Agenda ❑Subject; l 1' � �, qf'� AL a� � �' i"�r`�