HomeMy WebLinkAbout2025 11 19 TLBD 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
Please print clearly and neatly
Date: v V Name: l l �1 t [i)a1'J ,6 J
Address:. ) `} `1 j /V A Nf I� 1I l�( A
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Email:
Phone # (optional):
Do you wish to verbally address the Commission with regard to an issue? 0-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 E Subject: "-0i r f lov
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Date: l�N��L �'✓ Name: � ���j�L
(%
Address: 1VR'/v 6 % ()A
Email: /qP-
Phone # (optional):
Do you wish to address the Commission with regard to an issue: ❑ Yes ❑ No
lfyou mark %Vo' above, the Mayor or presiding Commissioner will indite your noted support or
ca 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 AgendaXSubject:
Revised 06/14/2021
THIS FORM IS PUBLIC RECORD, lndividua/s comments are persons representing a group or organization limited to 3 minutes and
determined bare /invited to S minutes, unless otherwise
y the City Comm/ssion
Revised 06/14/2021
THIS FOP" IS PUBLIC RECORD. Individuals comments are limited to 3 minutes and
Persons representing a group or organization are /imited to Sminutes, unless otherwise
determined by the City Commission
RI —ease pLIntcearl andneat/
Date: �( l?4) Name::
c L
Address:
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 wi/l indiyournotedsupport or
cate 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: _