HomeMy WebLinkAboutPublic Comment Card CC - 02/08/2017 - Public Comment Cards 02 06 17PUBLIC COMMENT CARD (Please print & fill in completelv)
Instructions:
1. Complete this card in its entire ty (DO NOT lea ve an yt hing blan k)
2 . Giv e t he 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:
,.~
'\Ii would l!ke to make a General Comment that doe_s NOT pe~:in to an Agenda Item or Zoning Case . (Skip to Today 's Date) /iJ"i would like to speak about an Agenda Item or Zoning Case . (Please indica te Agenda Item No. below)**
Agenda Item No. : _______ _
Zoning Case No . : --------
TODAY'S DATE: P4'ftf/?t:?/:f7
I
NAME: ~&'tf"~ 4£C'~
ADDRESS: ~f;z Me"e"'#~e>/ ~#C'
~;/.P/j/ tr',,,f1 J~t7t7/
PHONE: -~U-~~-=c...,~,_id_'1~7f--!5}~J)_,_1/7 _____ _
Please check ALL that apply:
D I am in SUPPORT of this Agenda Item
0 I am in OPPOSITION of this Agenda Item
I am a Milton resident
O I am a Milton business owner
D I am a local lobbyist duly registered with the State Ethics Commission
0 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 fill out the attached Affidavit before speaking on behalf of the group you are representing.
D 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 ing RULES regarding Pub lic 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 mi nutes . 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 w ish to speak in OPPOSITION have a total of ten minutes as a group.
If you have made any cam
check "yes" or "no" : DYes
gn contributions to a Councilmember aggregating $250.00 or more, please
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 completelv)
Instructions:
1. Comple t e this card in its enti re ty (DO NOT leave an yt hing blan k)
2. Give the card to th e 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:
·~
~~uld l!ke to make a General Comment that doe.s NOT pe~_:in to an Agenda Item or Zon ing Case . (S kip to Today 's Date)
1)%' would like to speak about an Agenda Item or Zoning Case . (Please indicate Agenda Item No. below)**
Agenda Item No . : ______ _
Zoning Case No. : #o~/#~ !LC
PHONE:
~----------------------
Please check ALL that apply:
0 I am in SUPPORT of this Agenda Item
0 I am in OPPOSITION of th is Agenda Item
D I am a Milton reside nt
0 I am a Milton business owner
O I am a local lobbyist d uly registered w ith the State Ethics Comm ission
D I am a paid representative of either the support or oppos ition
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 .
0 I want to speak abo ut 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 th is card for additional wri ting space .)
**Please read the following RULES regard ing Publ ic Commen t:
• Publ ic Comment is allowed on an Agenda Item or a General Public Comment can be made about someth ing that 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 Public Co m ments in SUPPORT of an Agenda Item are allowed a TOTAL of ten minutes . 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 minutes . This means that ALL
people who wish to speak in OPPOSIT ION 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" : 0 Yes D 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.