HomeMy WebLinkAboutPublic Comment Card CC - 06/18/2018 - MATILDA'S (25)1. Complete this card in its entirety (DO NOT leave anything blank)
2. Give the card to the City Clerk BEFORE THE COUNCIL MEETING BEGINS.
3. When your name is ailed, pproach the podium 9nd speak directly into the microphone and state
your name and
TODAY'S DATE: -- - of A
—&NME:. ��- - ---- --
ADDRESS: _a _ PHONE��
Agenda Item No.:
ANT TO SPEAK about this Agenda Item
❑ 1 DO NOT want to speak but I would like the following comments read into the record.
You must be present at the meeting to have your comments read.
Zoning Case No.:
❑ 1 WANT TO SPEAK about this Zoning Item
❑ 1 am in SUPPORT of this Zoning Item
❑ 1 am in OPPOSITION of this Zoning Item
❑ 1 DO NOT want to speak but I would like the following comments read into the record.
You must be present at the meeting to have your comments read.
am speaking on behalf of a Gr or N ighbor ood*** ❑ E lease complete below) ❑ NO
P g
Name of Group/Neighborhood
rou /Nei hborhood — � 'Q�/✓i S/
***You are required to fill out an Affidavit before speaking on e e group you are re
**Please read the following RULES regarding Public Comment:
• Public Comment is allowed on any Agenda Item or a General Public Comment can be made about
something that is not on the Agenda.
• All General Public Comments are allowed a total of five minutes.
• ALL Public Comments in SUPPORT of a Zoning Agenda Item are allowed a TOTAL of ten minutes.
ALL people who wish to speak in SUPPORT have a total of ten minutes as a group.
• ALL Public Comments in OPPOSITION of a Zoning Agenda Item are allowed a TOTAL of ten minutes.
ALL people who wish to speak in OPPOSITION have a total of ten minutes as a group.
If you have made any campaign contributions to a Councilmember aggregating $250.00 or more,
please check "yes" or "no": ❑ Yes ❑ No.
When you have completed this card, please give it to the CITY CLERK before the meeting begins.
Please see the CITY CLERK N you have any questions regarding this Public Comment Card.
www.cityofmiltonga.us
Revision Date: 05.2018
MILTON'r
HOMEOWNERS ASSOCATION, ORGANIZATION, OR GROUP AFFILIATION
I, PjdU& � �' -- , do hereby warrant and represent that I am a
�__
member of the �_,!'_ _ and in that capacity have
been duly authorized by this organization to speak on behalf of the organization before the City
Council, Planning Commission, or the Board of Zoning Appeals of the City of Milton with respect to
Zoning Petition(s) #
This lot',- day of �''_ , 20� _
1. Signature
TO BE COMPLETED BY NOTARY PUBLIC ONLY:
State of Georgia, County of
On this _ day of 20
personally appeared before me.
Who is personally known to me.
Whose identity I proved on the basis of
Whose identity I proved on the oath/affirmation of a credible witness.
Sworn to and subscribed before me this _ ___ _ _ day of
Notary Public: My Commission Expires:
This form is to be filed in the OFFICE OF THE CITY CLERK, City of Milton,
2006 Heritage Walk, Milton, Georgia 30004.
www.cityofmiltonga.us
Revision Date: 05.2018