HomeMy WebLinkAboutPublic Comment Card CC - 11/05/2018 - Curtis Mills ZM18-02/VC18-08dee S a
MILTON'
1. Please print.
2. Give the card to the City Clerk BEFORE THE COUNCIL MEETING BEGINS.
3. When your name is called, approach the podium an speak�directly into the microphone
and state your name and address. / /1 / , .
TODAY'S DATE; 144> //Jf _ NAME:
ADDRESS:
HONE:
Agenda Item No.: eneral Co ent
(E) AMPLE: 18- O1) (Subject)
WANT TO SPEAK about this Agenda Item
am in SUPPORT of this Item
❑ 1 am in OPPOSITION of this 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.
❑ 1 am speaking on behalf of a Group or Neighborhood*** ❑ YES (please complete below0
Name of Group/Neighborhood v
***You ore required to fill out an Affidavit before speaking on behalf of the group you are representing.
**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 if you have any questions regarding this Public Comment Card.
www.cityofmiltonga.us
Revision Date: 06.2018
M 1 LTON"t'
NOTE: This form s;hov2d hr -
for kezoni?'4]. ,Aclonf
Name of Subject Rezoning/Case
(c) When any opponent of a rezoning action has made, within two years immediate preceding
the filing of the rezoning action being opposed, campaign contributions aggregating $250.00
or more to a local government official of the local government (Mayor or Councilmember)
which will consider the application, it shall be the duty of the opponent to file a disclosure with
the governing authority of the respective local government showing:
(1) The name and official position of the Iccal government official to whom the campaign
contribution was mode; and
(2) The dollar amount and description of each campaign contribution made by the opponent
to the local government official during the two years immediately preceding the filing of
the application for the rezoning action and the date of each such contribution.
(d) The disclosure required by subsection (c) of this Code section
rezoning application. by the local government or any of its agencies on the
I hereby certify that I have read the above campaign disclosure information and declare that
(select have or have not)
Xhave within the two years immediately preceding this date made any campaign
contribution(s) aggregating $250.00 or more to any local government official involved in the
review or consideration of this application.
❑ I have not within the two years immediately preceding this date made any campaign
contribution(s) aggregating $250.00 or more to any local government otticial involved in the
review or consideration of this application.
Amount of Contribution and/or Date of
Name of Elected Official/Position Des c iption of In -Kind Contribution Contribution
NAME OF CONTRIBUTOR:
SIGNATURE OF CONTRIBUI
www.cityofmiltonga.us
Revision Date: 05.201P