HomeMy WebLinkAboutPublic Comment Card CC - 01/23/2017 - Public Comment Cards 01 18 17PUBLIC COMMENT CARD (Please print & fill in complete1vJ
Instructions:
1. Complete t his card in its en t irety (DO NOT leave anyt hing bla nk)
2. Give the card to the City Clerk BEFORE THE COUNCIL MEETING BEGINS .
HOM E OF '
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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:
0 I would like to make a General Comment that does NOT pertain to an Agenda Item or Zon ing Case. (Skip to To day's D ate
0 I would like to speak about an Agenda Item or Zoning Case . **(Plea se indicate A genda Item No . below)**
Agenda Item No. : ___ 'J... ___ _
Zoning Case No. : R Z Jta--05"
I
PHONE : __ 7_,_7_o_5_9~5~9_CJ~7_0 ____ _
Please check ALL that apply:
O I am in SUPPORT of this Agenda Item
_,...8r I am in OPPOSITION of th is Agenda Item
O I am a Milton res ident
O I am a Milton bus iness owner
O I am a local lobbyist duly reg istered with the State Eth ics Comm iss ion
O I am a paid representative of either the support or oppos it 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 .
D I want to speak about this 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 th is card for additional wri ting space .)
**Please read the following RULES regarding Public Comment:
• Public Comment is allowed on an Agenda Item or a General Publ ic Comment can be made about something t hat is no t
on the Agenda .
• NO Public Comment is allowed regarding Consent Agenda Items or First Presentation Items .
• All General Publ ic Comments are allowed a total of five minutes .
• ALL Publ ic Comments in SUPPORT of an Agenda Item are allowed a TO T AL of ten m inutes . This 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 TOT AL of ten m inutes . 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 campaign contributions to a Councilmember aggregating $250.00 or more, please
check "yes" or "no" : D Yes 0 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 t his Public Comment Card.
PUBLIC COMMENT CARD (Please print & fill in completelv)
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:
Q 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 in dicate Agenda I te m No. below **
Agenda Item No. : __ 6~ . ..__ ____ _
-Zoning Case No. : --------
TODAY'S DATE: _l~-_l ~r;~· \1~---
NAME: 0ff::0;\ky.j \~ 0V ~~
\ .
ADDRESs:1]1) Sf~~ 142--
M\ vf bN 1JDDO~
PHONE: _lo_l._C_M __ lR_\""1_\_~~-----
Please check ALL that apply:
0 I am in SUPPORT of this Agenda Item
D I am in OPPOSITION of this Agenda Item
am a Milton resident
O I am a Milton business owner
D I am a local lobbyist duly registered with the State Ethics Commission
O I am a paid representative of either the support or opposition
O 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 representing .
KV! 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 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 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 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 campaign contributions to a Councilmember aggregating $250.00 or more, please
check "yes" or "no" : Oves 0 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.