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HomeMy WebLinkAboutPublic Comment Card CC - 06/21/2016- PUBLIC COMMENT CARD (P. fill in completely) . -z:... ,, Instructions: ( ~/ / 1. Comp lete this card in its entirety (DO NOT leave anythin g blan k) ~ \ \J / 2. Give the card to th e City Clerk BEFORE THE COUNCIL MEETING BEGINS . \6 3. When your name is called , approach the podium and speak directly into th 7 m·cropho and state your name and a fJ!t;>7 Please complete the following information: Q\ '\ 1 l)Nould l~ke to make a General Comment that doe.s NOT pe~;in to an Agenda Item or Zoning Case. (Skip 10 To da y 's Date} ~would like to spe~ about an Agenda Item or Zoning Case . (Please ind icate Ag enda Item No. below)** Agenda Item No. : k Ll ~ v V Q. CA... 4 Pro V ,·de. Y"' ~ Zoning Case No. : ~ \( / (Q -0 3 TODAY'SDATE: Ob-0 -20 G NAME: \ VY\ ..Q__ ""'~-V ADDRESS I£ CD 2 S' (_ ""-"' + ~ '\:i ;,) ~)' (_ tJ\; l+o~ 1 6 A 3 o ao'f Please check ALL that apply: 11 Jam in SUPPORT of this Agenda Item ~j;am in OPPOSITION of this Agenda Item LV I am a Milton res ident 0 I am a M ilton business owner D I am a local lobbyist duly registered wit h the State Ethics Commission LJ I am a paid representative of either the support or opposition O I a m affiliated wi t h a Group or Neighborhood*** Name of Group/Neighborhood ***(complete attached form) / ***You are required to fill out the attached Affidavit before speaking on behalf of the group you are repre senting. ~I want to speak about th is Agenda Item _1 I DO NOT want to speak but I would like the following comments read into the record : (Please use th e back of this card for additio na l writing spa ce.) **Please read the following RU LES regard ing Public Comment: • Public Comment is allowed on an Agenda Item or a General Public Comment can be made about someth ing that is not on the Agenda . • NO Public Comment is allowed regard ing Consent Agenda Items or First Presen tation Items. • All General Public Comments are allowed a total of five minutes. • ALL Publ ic Comments in SUPPORT of an Agenda Item are allowed a TOT AL of ten minutes . This means tha t AL L people who wish to spea k in SUPPORT have a total of ten minutes as a group . • ALL Public Comments in OPPOSITION of an Agenda Item are allowed a TOT AL of ten minutes . This means that ALL people who w ish to speak in OPPOSITION have a total of ten minutes as a group. If you have made any camp'!iSJfl contributions to a Councilmember aggregating $250.00 or more, please check "yes" or "no" : D Yes [S1 No. When you have completed this card, please give it to the CITY CLERK b e fore the meeting begins. Please see the CITY CLERK if you have any questions regarding this Public Comment Card. PUBLIC C 2£~:: ~=~~ ~::p1ete10 Instructions : 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 i s called , approach the pod i um and speak directly into the microphone and state your name and address. Please complete the following information : D I wo ul d like to make a General Comment t ha t does NOT perta in t o an Agenda Ite m or Zon ing Case . (S kip to Toda y 's Date) ~wou l d like to speak abou t an Agenda Item or Zon ing Case . **(Please indicate Agenda Item No. belo w)** Agenda Item No. : __ q _____ _ Zoning Case No. : V lb -0 0 3 TODAY 'S DATE: b-zt) ... z~ l t, NAME: ~.lQ .J e_ /G/\.d $k ~ ~ ADDRESS: ('~6 /O iS e.±~1 12" "-C f0. ~ l-t o~) c;Jl 3>ot>O f PHONE: _%1~_· ~~q5~ ... _')_4~6~o~----- Please check ALL that apply: D I am in SUPPORT of th is Agenda Item )\.1 am in OPPOSITION of th is Agenda It em ~I am a Mi lton res iden t ::::i I am a Milton bus iness owne r D I am a loca l lobbyist duly reg ist ered w ith t he State Eth ics Comm iss io n :J I a m a paid represen t at ive of e ither the support or oppos it ion :J I am affil iated w ith a Group or Neighborhood*** Name of Group/Neighborhood ***(complete attached form) ***You ar e required to fill out the attached Affidavit before spea kin g on behalf of the group y o u are r epresenting. ~wan t to speak abou t t h is Agenda Item O I DO NOT want to speak but I would lik e the follow ing comments read into the record : (Pleas e use the back of th is card fo r additional writing space.) **Please read the follow ing RULES rega rd in g Publ ic Comment: • Publ ic Comment is allowed on an Agenda Item or a General Public Comment can be made abou t somet hin g tha t is not on the Agenda . • NO Pub li c Commen t is allowed regard ing Consen t Agenda Items or Firs t Presentation Items . • All General Public Comments are allowed a total of five minutes . • ALL Publ ic 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 Public Comments in OPPOSITION of an Agenda Item are allowed a TOT AL of ten m inutes . This means that ALL people who wish t o speak in OPPOS IT ION have a total of ten minutes as a group. If you have made any campai n contributions to a Councilmember aggregating $250.00 or more, please check "yes " or "no" : 0 Yes 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. .. ~£\&~~ PUBLIC COMMENT CARD (Please print & fill in completetv) Instructions: 1. C omplete th is ca rd in its entirety (DO NO T leave a nything b lan k) 2. G ive the ca rd 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 : LS IA.B l I SHLU .l006 D I would like to make a General Comment that does NOT pertain to an Agenda Item or Zoning Case . (Skip to Today 's Date) ~I wou ld like to speak about an Agenda Item or Zoning Case . **(Please indicate Agenda Item No. below)** ~ TODA Y'S DATE: __,~~Q 11-"d_.._0 -+-) +-=\ ~"------- NAME : L rwra ~ ADDRESS' d SCiJ ~ {h.t<th PHONE: __ 7~7~0_, ~3 _55~· 0~5~0~,)_--------- Please check ALL that apply: o I am in SUPPORT of this Agenda Item ):( I am in OPPOSITION of th is Agenda Item o I am a Milton res ident o I am a Milton business owner o I am a local lobbyist duly reg istered with the State Ethics Commission o I am a paid representative of either the support or opposition I am affiliated w ith a Group or Neighborhood Name of Group/Neighborhood I want to speak about th is Agenda Item 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 Publ ic 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 appl i cant 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 havi ng an aggregate value of $250.00 to the Mayor or any member of the City Council? NOTE: In accordance with O.C.G.A. § 36-67A-3, any opponent of a re-zoning application must file this disclosure at least five calendar days p rior 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 consti tutes a misdemeanor. Accordingly, an individual who has made contri buti ons exceeding the above amount within the past two years who has not complied with this disclosure requirement is strongly advised not to partici pate in public comment opposing the application. When you have ompleted this card, please g i ve it to the CITY CLERK before the meeting begin . Please see the CITY CLERK i f you have any questions regarding this Public Commen t Card. * *-" OfPbS~ -~ PUBLIC COMMENT CARD (Please print & fill in completely) Instructions: 1. Complete t his card in it s enti ret y (DO NOT lea ve an yt hing blank ) 2. Give the ca rd to the City Clerk BEFORE THE COUNCIL MEETING BEGINS . 3. When your name is called , approach the pod i um and speak directly into the microphone and state your name and address. Please complete the following information: ESTABLISHED 2006 0 I would like to make a General Comment that does NOT pertain to an Agenda Item or Zoning Case. (Skip to Today's Date) ~I would like to speak about an Agenda Item or Zoning Case. **(Please indica te Agenda Ite m No. below)** ~~~~';:::::t:.;;J/ui_1~-08~ z 10-0Z-/vc11o -ot Zoning Case NAME: pkN /f?.v rl'.Je ADDRESS: I f 'fJ r iJ j(,'/.fa.,,y /GT U!. fvt( LT&t.i GA 3~e>o<f PHONE: g 5"~ ...-G Bg -" / l(o D Please check ALL that apply: D I am in SUPPORT of this Agenda Item ~ I am in OPPOSITION of this Agenda Item<, "4' I am a Milton resident ')t:1. I am a Milton business owner f?.S> '> D I am a local lobbyist duly registered w ith the State Ethics Commission D I am a paid representative of either the support or opposition 0 I am affiliated with a Group or Neighborhood*** Name of Group/Neighborhood ***(complete attached form) ***You are required to Jill out the attached Affidavit before speaking on behalf of the group you are representing. 0 I want to speak about this Agenda Item l D I DO NOT want to speak but I would like the follow ing comments read into the record : (Please use the back of this card for additional wri ting space .) **Please read the following RULES regard i ng Public Comment: • Public Comment is allowed on an Agenda Item or a General Public Comment can be made abou t something that is not on the Agenda . • NO Publ ic 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 TOT AL of ten minutes . Th is means tha t 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 m inutes . Th is means that 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" : DYes D No. When you have completed this card, please give it to the CITY Cl.ERK before the meeting begins. Please see the CITY CLERK if you have any questions regarding this Public Comment Card. SL-Lcpp-- ESTABLISHED 2006 Pusuc COMMENT CARD (Please print & fill in completeivJ Instructions: Mf)L f@ ,,/lAA TT 1. Com plete th is card in it s en t irety (DO NOT lea ve anyt hing blank) r if1 f V J 2. Giv e the card to t he 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: D I would like to make a General Comment that does NOT perta in to an Agenda Item or Zoning Case . (Skip to Today's Date) 4 1 would like to speak about an Agenda Item or Zon ing Case . **(P lease indicate Agenda It em No. below)** Agenda Item No. :_....Jq.__.).___l _, __ _ Zoning Case No . : __ V_Lfe-'--~-~----'=---- TODAY'S DATE: Cf. Zo . Z,o t le NAME: 'VL,mn_ ::) o t\:1 ADDRESS: \ \ ~4o LG\ k+i v\i d,-~ r . S~4e L..~o ~tahVkS ~ I ~ ~4'7 , PHONE: __ '-f----'-/_o_c;'_u _7_"___,4-_S'_'4r.....___,_C/, ______ _ _!'}ease check ALL that apply: Tt I am in SUPPORT of th is Agenda Item D I am in OPPOSITION of th is Agenda Item 0 I am a Milton resident 0 I am a Milton business owner D I am a local lobbyist du ly reg istered with the State Eth ics Commiss ion D I am a pa id representat ive of either the support or opposit ion D I am affiliated with a Group or Neighborhood*** Name of Group/Neighborhood ***(complete attached form) ***You are required to fill out the attached Affidavit before speaking on behalf of the group you are rep resenting. -{;,. I want to speak about th is Agenda Item b I DO NOT want to speak but I would like t he following comments read in to the record: (Plea se use the back of th is card fo r additional writing space .) **Please read t he following RULES regard ing Public Comment: • Pub lic Comment is allowed on an Agenda Item or a General Publ ic Comment can be made about something t hat is not on the Agenda . • NO Publ ic Comment is allowed regard ing Consent Agenda Items or F irst Presentation Items . • All Genera l Publ ic Comments are allowed a total of five minutes . • ALL Pu bl ic Comments in SUPPORT of an Agenda Item are allowed a TOTAL of ten minutes . Th is means that ALL people who w ish to spea k in SUPPORT have a total of ten minutes as a group. • ALL Public Comments in OPPOSITION of an Agenda Item are allowed a TOT AL of ten minu tes . Th is means tha t ALL people who w ish to speak in OPPOSITION have a total of ten minutes as a group. If you have made any campai n contributions to a Councilmember aggregating $250.00 or more, please check "yes " or "no" : D Yes ·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. AFFIDAVIT FOR REPRESENTATIVE OF HOMEOWNERS ASSOCATION, ORGANIZATION, 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 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: ____________ _ (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. i>uB~IC COMM~~~:s ~;~~=:1~) ESTABLISHED 2006 Instructions: 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 called , approach the podium and speak directly into the microphone and state your name and address. Please complete the following information: D I would like to make a General Comment that does NOT pertain to an Agenda Item or Zoning Case . (Skip to Today's Date) ~would like to speak about an Agenda Item or Zoning Case . **(Please indica te A genda It em No. below)** Agenda Item No . : 1) ( · Zoning Case No. : --~~'-~--..... '1:2--;i~~~ TODA Y'S DATE: ------.W--.z-.o___,,/~1..,,.~~---- NAM E: ___ CA-Af-'-'-'-----"'----'~--"'--'-'t (.,,::....:t..'-"t _,,_'7 _________ _ ADDRESS: f I ?t/o ~~~u..p ~ er'~~ 694- PHONE: --~ffftti~~--2/~f3~-~f'1~ZO~------ Please check ALL that apply: ~I am in SUPPORT of this Agenda Item 0 I am in OPPOSITION of this Agenda Item ~ I am a Milton res id ent D I am a Milton business owne r [] I am a local lobbyist duly reg istered with the State Eth ic s Commiss ion O I am a paid representative of eit her the support or opposition PL 1llhVI :J I am affili ated with a Group or Neighborhood*** Name of Group/Neighborhood ***(complete attached form) _J ***You are required to fill out the attached Affidavit before speaking on behalf of the group you are representing. 'ts 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 follow in g RULES regard in g Public Comment: • Public Comment is allowed on an Agenda Item or a Gene ral Public Comment can be made about someth in g that is not on the Agenda . • NO Publ ic Comment is allowed regarding Consent Agenda Items or First Presentation Items . • All General Publ ic Comments are allowed a total of five minutes . • ALL Public Comments in SUPPORT of an Agenda Item are allowed a TOTAL of ten minutes . This means that ALL people who w ish 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 TOT AL 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 camp~n contributions to a Councilmember aggregating $250.00 or more, please check "yes" or "no" : DYes ~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. MIITCYN \t ESTABLISHED 2006 AFFIDAVIT FOR REPRESENTATIVE OF HOMEOWNERS ASSOCATION, ORGANIZATION, OR GROUP AFFILIATION I, Qk r§ ~ , 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 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: ____________ _ (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.