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CITY OF WINTER SPRINGS, FLORIDA - PUBLIC INPUT FORM
Please print clearly and neatly
Date: _ Y��_Name
D.Winter Springs Resident
❑Representative of Group
Group Name (If Applicable) _______________________
Email: � 0\4--( '"IPhone # (optional):
Do you wish to verbally address the Commission with regard to an issue? IP/'es ❑ No
If you 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 ❑ Subject: __ FLK \ ( J"
Revised February 9, 2026
THIS FORM IS A PUBLIC RECORD. Individual's 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
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CITY OF WINTER SPRINGS, FLORIDA - PUBLIC INPUT FORM
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Please print clearlyand neatl
Date: Name:
Address Icq
Email: t` ` �� �"l ` ` `'� �' t�Phone # (optional):
Do you wish to address the Commission with regard to an issue: ❑ 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.,ISSubject:
Revised 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
Revised February 9, 2026
THIS FORM IS A PUBLIC RECORD. Individual's 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
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CITY OF WINTER SPRINGS, FLORIDA - PUBLIC INPUT FORM
Date: Iii�-, _4 Name:
C/WinterSprings Resident
Group Name (If Applicable)
Email:
El Representative of Group
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 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 ❑ Subject: ______
Revised February9, 2026
THIS FORM IS A PUBLIC RECORD. Individual's 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
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CITY OF WINTER SPRINGS, FLORIDA - PUBLIC INPUT FORM
Please print clearly and neatly
Date: --------------- Name:
------------------------------------------------------
❑ Winter Springs Resident ❑Representative of Group
Group Name (If Applicable)
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 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 ❑ Subject:
CITY OF WINTER SPRINGS FLORIDA - PUBLIC INPUT FORM
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Date: _ _"i Name:
i]AVinterSprings Resident
Group Name (If Applicable) _______� • —
Email:
PfI
El Representative of Group
Phone # (optional):
Do you wish to verbally address the Commission with regard to an issue? ❑ Yes ❑ No
If you mork'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 ❑ Subject:
Revised February 9, 2026
THIS FORM IS A PUBLIC RECORD. Individual's 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