HomeMy WebLinkAbout1979 02 22 Workshop
. t
-
-
FOt'I". 4
MEMORANDUM OF VOTING
L -,ATE ON WHICH VOTE OCCURRED:
CONFLICT 27 FEB 79 ,19_
e PART A
Name:
PELLERIN
Laurent
Alfred
Telephone:
327-1300
(LAST)
(FIRST)
(MIDDLE)
(A/C) (NUMBER)
Address:
(STR EET)
(CITY)
(ZIP CODE)
(COUNTY)
PART B
Agency is a unit of [check one] :
) State of Florida; (Jet County, City or other Political Subdivision
Name of Agency:
City of Winter Springs, FL
Position held in Agency:
Councilman
PART C
MEMORANDUM OF CONFLICT OF INTEREST IN A VOTING SITUATION [Required by Florida Statutes S 112.3143 (1975)]
If you have voted in your official capacity upon any measure in which you had a personal, private, or professional interest which inures to
your special private gain or the special private gain of any principal by whom you are retained, please disclose the nature of your interest
below.
1. Description of the matter upon which you voted in your official capacity:
Introduced an Ordinance to change
"
the zoning of the property known as the "Old Water and Sewer Plant
located on Moss Road from C-2 to PUD.
Voted to support a 90 day
e
moritorium on issu,ing building permits to property that is not
zon~ed according to the Land Use Plan.
2. Description of the personal, private, or professional interest you have in the above matter which inures to your special private gain or
the special private gain of any principal by whom you are retained:
My home is located on Moss Road and is effected by the C-2 Zoning
currently assigned to the above described property.
e 3. Person or principal to whom the special gain described above will inure:
a. ( ) Yourself b. ( ) Principal by whom you are retained:
(NAME)
PART D
FILING INSTRUCTIONS
This memorandum must be filed within fifteen (15) days following the meeting during which the voting conflict occurred with the person
responsible for recording the minutes of the meeting, who shall incorporate the memorandum in the meeting minutes. This form need not be
filed merely to indicate the absence of a voting conflict. Florida law permits but does not require you to abstain from voting when a conflict
e of :.lterest arises; if you vote, however, the conflict must be disclosed pursuant to the requirements described above.
PART E
O!~~ ~
Laurent Alfred Pellerin
28 FEB 1979
SIGNATURE OF PERSON DISCLOSING
DATE SIGNED
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES S112.317 (1975), A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES
GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE
OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE FORM 4- EFF. 1/1/77