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HomeMy WebLinkAboutPublic Comment Card CC - 06/21/2016 - General Public Comment Cards 06 20 16HOME OF 'TI ~-<• -,, T) r lf-F ~N "'" ·I~'~ Ml _LTON ~ PUBLIC COMMENT CARD LS"IAB I JSHLD .l006 Instructions: 1. Complete this card in its entirety (DO NOT leave anything blank) 2. G ive the card to the City Clerk BEFORE THE COUNCIL MEETING BEGINS . 3 . When your name is called, approach the podium and speak directly into the microphone and state your name and address. Please complete the following information: "' ;;t-"5P'2..<-t le-\ i ~ ..._____ tf\.D I /would like to make a General Comment that does NOT pertain to a ~ or Zoning~(Skip 10 Today's Date) 0 I would like to speak about an Agenda Item or Zoning Case . **(Please indicate Agenda Item No. below)** Agenda Item No. : _______ _ Zoning Case No . : -------- TODAY'S DATE: r;/ 20/1(,, NAME=---~-....-)j,_._,,;.~e-_i_n---'"--,. A-_llS_~__.t'--1 _______ _ ADDRESS: I;)_ r-; 3 7 Le..G-DM-,4--/µ L.b f)tlf~ t btr jDOV'f Please check ALL that apply: o I am in SUPPORT of this Agenda Item :¥-1. am in OPPOSITION of this Agenda Item ~ am a Milton resident 6 I am a Milton business owner D I am a local lobbyist duly reg istered with the State Ethics Commiss ion D I am a paid representative of either the support or opposition o I am affiliated with a Group or Neighborhood Name of Group/Neighborhood 0 I want to speak about this Agenda Item D I DO NOT want to speak but I would like the following comments read into the record : {Please use the back of this card for additional writing space.) **Please read the following RULES regarding Public Comment: ------------- • Public Comment is allowed on an Agenda Item or a General Public Comment can be made about something that is not on the Agenda . • NO Public Comment is allowed regarding Consent Agenda Items or First Presentation Items. • ALL Public Comments in SUPPORT of an Agenda Item are allowed a TOTAL of ten minutes . This means that ALL people who wish to speak in SUPPORT have a total of ten minutes as a group. • ALL Public Comments in OPPOSITION of an Agenda Item are allowed a TOTAL of ten minutes . This means that ALL people who wish to speak in OPPOSITION have a total of ten minutes as a group. If you want to speak about a Rezoning or Use Permit Agenda Item, please answer "yes" or "no" to the following question: DYes 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 made 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 individual who has made contributi ons 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. When y ou have completed this card, please give ft to the CITY CLERK before. the meeting beg111s. Please see the CITY CLERK if you have any question regarding this Public Comment C~rd. PUBLIC COMMENT CARD (Please print & fill in comp1ete1vJ Instructions: 1. Com plete 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 called , approach the podium and speak directly into the microphone and state your name and address. Please complete the following information: ESTABLISHED 2006 /would like to make a General Comment that does NOT pertain to an Agenda Item or Zoning Case . (Skip to Today's Dat e) 0 I would like to speak about an Agenda Item or Zoning Case . **(Please indicate Agenda Item No. below)** Agenda Item No. : ___ ~----- Zoning Case No. : ----"-/---=------ TODAY'S DATE: _C9_/~2o--+-£_( ft2_,., __ _ NAME:--f-3<.-tJ ...=.......:lueJ~C~~~-=-'------ ADDRESS:---+/_s-........ a_], ..... o _______ H~19 ..... b~~Ac__....w-...,l'--'\:u~__.llf2___,__. --- Mt lh"' , CrPr :sooo t..t; PHONE: -----'( ........ o -"-7_..~--7..:..._S"b----'"'-----=3'--3__.'-f'--\.f..:.._, ____ _ Please check ALL that apply: 0 I am in SUPPORT of this Agenda Item ~).am in OPPOSITION of this Agenda Item ~ I am a Mil ton resident D I am a Milton business owner 0 I am a local lobbyist duly registered with the State Ethics Comm ission D I am a paid representative of either the support or opposition D I am affiliated w ith a Group or Neighborhood*** Name of Group/Neighborhood ***(complete attached form) H /. ***You are required to fill out the attached Affidavit before speaking on behalf of the group you are representing. Ii?" I want to speak about ti"lis A~eRda ltei:n O I DO NOT want to speak but I would like the following comments read into the record : (Please use the back of this card for additional writing space .) **Please read the following RULES regard ing Public Comment: • Public Comment is allowed on an Agenda Item or a General Public Comment can be made about something that is not on the Agenda. • NO Public Comment is allowed regarding Consent Agenda Items or First Presentation Items. • All General Public Comments are allowed a total of five minutes. • ALL Public Comments in SUPPORT of an Agenda Item are allowed a TOTAL of ten m inutes . Th is means that ALL people who wish to speak in SUPPORT have a total of ten minutes as a group . • ALL Publ ic Comments in OPPOSITION of an Agenda Item are allowed a TOTAL of ten minutes . This means that ALL people who wish to speak in OPPOSITION have a total of ten minutes as a group. If you have made any campaigJYContributions to a Councilmember aggregating $250.00 or more, please check "yes" or "no" : D Yes lir'""No. When you have completed this card, please give it to the CITY CLERK before the meeting begins. Please see the CITY CLERK if you have any questions regarding this Public Comment Card. 1VfIIT01\l \t ESTABLISHED 2006 AFFIDAVIT F OR REP RESENTATIVE O F H O MEOWNER S ASS O CATIO N, ORGANIZATIO N, OR GROUP AFFILIATION I, , 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 ___ day of ________ , 20 __ _ Signature T O BE C O MPLETED BY N O T ARY PUBLIC O NLY: 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 w itness. Sworn to and subscribed before me this ____ day of ___________ _ Notary Public: _______________ _ My Commission Expires: ____________ _ (SEAL) This form is to be filed in the OFFICE OF THE CITY CLERK, City of Milton, 13000 Deerfield Parkway, Suite 107-F, Milton, Georgia 30004.