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HomeMy WebLinkAboutPublic Comment Card CC - 06/04/2013 - Public Comment Card 06 03 13PUBLIC COMMENT CARD (Please print & fill in Co~MIL TON (Circle One) .3. /3 Public Comment I Agenda Item No . I Zoni ng Case No. : ____ _ .L.-__ Dra:.:.te::--=== === = =======-_ ;::--;-, Name,__~---=-~----;:--f)_A./'-::::IJ ~_ _6c ~p --;-----,-~",,----:---,-------,-:~_ __ Addres s_.....I<--''f'~i--''g:CJ =--W=---t::>7 ~-..:....n ___ _~L--__ _d-'(C.3.__ --=-''--__ PI{ c. T7J,.-' ~~v --7'7 '>-r i F e Phone No.:_____ _ ___ _ _____ _ _ _ ______ _ _ or o Oppose I am a Milton resident. XYes 0 No I am a Milton busin ess owner }!'f Yes 0 No o I a m a loca l lobbyis t duly reg is tered with the State Ethics Commiss ion Group Affili ation (if any) 0 Ap pli cant o I a m a paid rep resentative of eith er the sup port or opposition or neighborhood O Other ___ _ _ ___ _ _ ___ _ _________ _ _ ______ _____ Check what may apPIY~wish to speak or t1 I do not wish to sp eak, but want my comments read into the record. Comment Card Instructions: 1. Complete the card in cluding case nu m ber, yo ur nam e , ad dress, and phone numbe r. 2. Subm it the card to th e City Clerk staff. 3. When your name is call ed and you wish to spea k, approach the pod ium spea kin g directly into the microphone stating your name and add ress for the reco rd Ques ti onlCom:;.;.me;.:.:t: __~____________________________________________.:.:n.:.:. If rezoning hearing (only) check what may apply: D Yes D NO"Within the (2) years immediately preceding the filing of this zoning petition have you, as the applicant or opponent for the rezoning petition, or an attorney or agent of the applicant or opponent for the rezoning petition. made any campaign contributions aggregating $250.00 or more or m ad e gifts having an aggregate value of $250.00 to the Mayor or any member of the City Council? NOTE: In accordance with O.C.G.A. § 36-67 A-3, any opponent of a re-zoning application must file this disclosure at least five calendar days prior to the first hearing by the local government or any of Its agencies , which is usually the Planning Commission meeting. Pursuant to O.C.G .A. § 36-67 A-4, knowing failure to comply with this requirement constitutes a misdemeanor. Accordingly, an indivi dual who has made contributions exceeding the above amount within the past two years who has not complied with this disclosure requirement is strongly advised not to participate in public comment opposing the application.