HomeMy WebLinkAbout2005 09 20 Public Input - Robert Malcomb
"PUBLIC INPUT" REQUEST
[ANYONE WISHING TO ADDRESS THE CITY COMMISSION MUST COMPLETE THIS FORM.]
PLEASE COMPLETE THIS FORM IF YOUARE ADDRESSING THE CITY COMMISSION ON
ANYSUBJECT OTHER THAN A "PUBLIC HEARINGS" AGENDA ITEM.
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DATE: ~ ~ ~ ~J
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NAME: J / ~ ~rw .~(
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ADDRESS: /~ ~~ C, ~ ~f /~.~~ C~`7~
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CITY: ~ ~ S~ ~-'t / G" STATE: ~ ~- ZIP COllE: ~~ Z /( C~
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TELEPHONE NUMBER: ~~V ~ ~
To address the City Commission on a subject that is not on tonight's Agenda, please complete 1):
1) WHAT SUBJECT' WOULD YOU LIKE TO ADDRESS THE CITY COMMISSION ABOUT:
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To address the City Commission on an A enda 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'I'HE RECORD, ARE YOU: IN FAVOR
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4) DO YOU WISH TO VERBALLY ADDRESS THE CITY COMMISSION ABOUT PHIS AGENDA ITEM?
YES _~_ NO, I DO NOT WISH TO VERBALLY ADDRESS THE CITY COMMISSION
NO'T'ES:
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 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.
Thm2k yoi~~ for your participntiori.