HomeMy WebLinkAbout2005 09 20 Public Input - Melissa Elliott"PUBLIC INPUT" REQUEST
[ANYONE WISHING TO ADDRESS THE CITY COMMISSION MUST COMPLETE THIS FORM.j
PLEASE COMPLETE THIS FORM IF YOU ARE ADDRESSING THE CITY COMMISSION ON
ANY SUBJECT OTHER THAN A "PUBLIC HEARINGS" AGENDA ITEM.
DATE: ~ _ p~LJ - ~~
NAME:
ADllI2ESS:
(Please Print)
(~
(Please Print)
CITY: ,~ I ~~ ,rl STATE: ~~ ZIP CODE: /~~
(Please Print)
~~,
TELEPHONE NUMBER: ~ ~ ~ ~ ` ''~ ~~ ' -
To address the City Commission on a subject that is not on tonight's Agenda, please complete 1):
I) WHAT SUBJECT WOULD YOIU LIKE TO AllDRESS THE CITY COMMISSION ABOUT: C CQ
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: ~ ~~~:Y~ ~ ~, ~ (-~~,~ ~ ~~
3) FOR THE RECORD, ARE YOU: IN FAVOR ~_ OPPOSED
4) ll0 YOU/WISH TO VERBALLY ADDRESS THE CITY COMMISSION ABOUT THIS AGENDA ITEM?
YES ~~/ NO, I ll0 NOT WISH TO VERBALLY ADDRESS THE CI'T'Y COMn91SSION
NOTES:
a) If you need additional space, please use the reverse side of this form.
b) If you are giving any document(s) to ar:yone on tl:e dais, the "Original" must be given to the
City Clerk as the "copy of record" -and as everyone on the dais should receive t/ze same
information, please provide nine (9) of eacl: document/item 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 ti~ou for your participn~ion.