HomeMy WebLinkAbout_2024 04 08 City Commission Regular Meeting Public Input FormsRevised 06/14/2021
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
Date: Pyre Z�
Address:
Email: �n '
Please print c%arlyand neatly
Name: & I C-�L`b
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Phone # (optional):
Do you wish to verbally address the Commission with regard to an issue? ❑Yes ❑ No
lfyou 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 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
P/ease print c%arlyandneat/v
Date: Name:
Address: :Z
Email: y, PCPY�I F i/ I C Phone # (optional): —
Do you wish to verbally address the Commission with regard to an issue? ❑Yes ❑ No
lfyou 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 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 c%ailvand neatly
Date:
Address:
Email:
Do you wish to verbally address the Commission with regard to an issue? ❑Yes ❑ No
lfyou 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 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
Date: Name:
Address:
Email:
Phone # (optional):
Do you wish to verbally address the Commission with regard to an issue? ❑Yes ❑ No
lfyou 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
Not on the Agenda ,Subject:
ar ou IN FAVOR ❑ or OPPOSED ❑
0vto
Revised 06/14/2021
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
Date: Name:
Address: )
Please print c%arlyandneat/v
Phone # (optional): ✓7 Z 5
Do you wish to verbally address the Commission with regard to an issue?10 Yes ❑ No
lfyou 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 E:'or OPPOSED ❑
Not on the Agenda ❑Subject: