HomeMy WebLinkAbout00-2025 06 23 City Commission Regular Meeting Public Input formsRevised 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
Please print clearly and neatly
Date: � 5 Name:
Address: 1`1-5
Email:
hone # (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 Agendp ubject: -�
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 clearlyand neatly
Date: , Name:>11� ,�Z�-•.
Address:
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 El Item Number: -) -� ti
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
Please print clearlyand neatly
Date: ' Name: X AP4*ti jgl'
Address: 141yn) ,l/
Email:
Phone # (optional):
Do you wish to 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 El
Not on the Agenda [J'Subject: �''l'i/ ic�c�'�� ,
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
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: `v rt • (�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 y-ouufforrward to speak.
On the Agenda El Item Number: ITC
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 p lnt cleadvand neatly
>_ j 1! i
Date: T � Name: � A L Y �
Address: 4'� F rnJ
Email:
Phone # (optional): 4 1--3�I I` CK- a�
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
position for the record but will not call you forward to speak.
r L
On theAgend9t Item Number:
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED ❑
Not on the Agenda 0 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
Date:
Address:
Email:
CITY OF WINTER SPRINGS, FLORIDA - PUBLIC INPUT FORM
�fPlease print clearly and neat/y
Name: f"fQT C-AUL�
/4q NA+O01 U6A " 1:24g-ze,
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 C�tem Number:
For the record, regarding this agenda item, are you IN FAVOR ❑ or OPPOSED ❑
Not on the Agenda 0 Subject:
Date:
Address:
Email:
CITY OF WINTER SPRINGS, FLORIDA- PUBLIC INPUT FORM
Name:
Please print clearlyand neaty
Phone # (optional):
Do you wish to 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 S minutes, unless otherwise
determined by the City Commission
CITY OF WINTER SPRINGS. FLORIDA - PUBLIC INPUT FORM
Date:
AddreE
Email:
Do you wish to 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
Date:
Address:
Email:
CITY OF WINTER SPRINGS, FLORIDA- PUBLIC INPUT FORM
Name:
Please print clearlyand neatly
Phone # (optional):
Do you wish to 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