HomeMy WebLinkAbout2004 10 19 Public Input Request - Mary Ellen Schween"PUBLIC INPUT" REQUEST
[ANYONE WISHING TO ADDRESS THE CITY COMMISSION MUST COMPLETE THIS FORM.]
PLEASE COMPLETE THIS FORM IF YO U ARE ADDRESSING THE CITY COMMISSION ON
ANYSUBJECT OTHER THAN A "PUBLIC HEARINGS" AGENDA ITEM.
DATE: ~~
NAME: ~ 2 ~ C~
(Please Print)
ADDRESS: ~ ~ l C ~ ~ 1C, ~ ,l/~,,g-L°=--C~
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CITY: ~~ ~.~ STATE: J ZIP CODE: ~ ~ ~ ~
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TELEPHONE NUMBER: ~ ~) 7 ~ ~J ~1 `" O a ~~
To address the City Commission on a subject that is nat on tonight's Agenda, please complete 1):
1) WHAT SUBJECT WOULll YOU LIKE TO ADDRESS THE CITY COMMISSION ABOUT:
To address the City Commission on an Agenda Item that is on Tonight's Agenda, please complete
2) through 4) -not including "Public Hearings "
2) WHICH AGENDA ITEM DO YOU WISH TO COMMENT ON:
3) FOR THE RECORD, ARE YOU: IN FAVOR
OPPOSED
4) DO YOU WASH TO VERBALLY ADDRESS THE CITY COMMISSION ABOUT THIS AGENDA ITEM?
Y'ES .~ NO, I DO NOT WISH TO VERBALLY ADDRESS THE CITY COMMISSION
NOTES:
a) If you need additional space, please use the reverse side of this form.
b) If you are giving any document(s) to anyone on the dais, the "Original" must be given to the
City Clerk as the "copy of record" -and as everyone on the dais should receive the same
information, please provide nine (9) of each documentlitem to the City Clerk.
c) If you are speaking on behalf'of a group or organization, you will (usually) be given five (5) minutes to
speak; otherwise, as an individual, you will (usually) be given three (3) minutes to speak.
Thank you for your participation.