HomeMy WebLinkAbout_2021 07 12 City Commission Regular Meeting Public input forms Revised 05/06/2021
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,
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DateNam ^� "�
Address:J'
Email 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 ^i Item Number:
For the record, regarding this agenda item, are you IN FAVOR C or OPPOSED ❑
Not on the Agenda ❑ Subject:
Revised 05106/2021
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
CITY OF WINTER SPRINGS. FLORIDA - PUBLIC INPUT FORM
Please r Tint clearly and neatly
Dater Jii Name: "
Address: I I i c i n II _ r
U,
Email:_. 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 7 Item Number:
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED
Revised 05/06/2021
THIS FORM ISA 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 clearland neatly
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Date: : l r'/ 0 Name: Er /. - -
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Address:._ .-� --
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'" 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 0 item Number:
For the record, regarding this agenda item, are you IN FAVOR - or OPPOSED
0.
Not on the Agenda ❑ Subject:
revised 05/06/2021
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 otherwis_
determined by the City Commission
CITY OF WINTER SPRINGS, FLORIDA - PUBLIC INPUT FORM
Please nri t clear!y and neatl�r
Date: —711 _ Name: ��'
Address: -",+lt i r rr ti
�ii�1uz�r. , �C► ,
Phone# (optional):
Email:
Do you wish to verbally address the Commission with regard to an issue?'SYes ❑ 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 L-1 Item Number:
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED
Revised 05/06/2021
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
Pl se Print clearlv and n&ativ
Date: �- Name:
l Y
Address:
Email: f �r � ,r'�; Phone# (optional). _` __ p
Do you wish to verbally address the Commission with regard to an issue? ❑ Yes ❑ No
If you mark 'No'u Bove, the Mayer or presiding Commissioner will indicore your noted support or
opposition for the record but will not call you forward to speak.
On the Agenda I_7 Item Number:
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED El
Not can the Agenda ❑ Subject:
Revised 0-5/06/2021
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 clearly and neatl
Date: 1�" th Name lei �� ,,qcI1` I i
Address:.-
Email:
ddress:.Email: °�/ > ` !' Phone # (optional):
Do you wish to verbally address the Commission with regard to an issueX51 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 -1 Item Number: — q
J _
For the record, regarding this agenda item, are you IN FAVOR� or OPPOSED ❑
.r• . � r
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 bj,the City Commission
CITY OF WINTER SPRINGS. FLORIDA- PUBLIC INPUT FORD
Please f,�rat!qr r!}raadaecgLv
Date: Name: r r —
Address —
Email: Phone# (optional):
Do you wish toverbally 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 net cal/you foavard 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 05/06/2021
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
CITY OF WINTER SPRINGS. FLORIDA - PUBLIC INPUT FORM
P/earrs��e print%arlvcnd-neatly
Date: Name: f���! G4L,(F.t
Address:
Email: IqCl CY1 Y �(4'Y Phone # (opational):
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 Number:
For the record, regarding this agenda item, are you IN FAVOR x
or OPPOSED ❑
Not on the Agenda ❑ Subject: