HomeMy WebLinkAboutPublic Comment Card CC - 03/11/2019 - Jason PawlowskiMILTON'Ilk
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 and speak directly into the microphones A
and state our name and address. V,
TODAY'S DATE: _ NAME:yas�n �W(�WSK 1
ADDRESS:--*? PHONE: (0 313L____
Agenda Item No.: ___ _ _ OR General Comment
(EXAMPLE: 18-001) (Subject)
f-d I WANT TO SPEAK about this Agenda Item
❑ 1 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.
L� I am speaking on behalf of a Group or Neighborhood' ❑ YES (please complete below) ❑ NO
Name of Group/Neighborhood u, V ce'ec
***You are required to fill out an Affidavit before s eaking 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
MILTON*t
HOMEOWNERS ASSOCATION, ORGANIZATION, OR GROUP AFFILIATION
I, J Q S J,-� V 0-CA)I OW S KK, I , do hereby warrant and represent that I am a
member of the (0vt1- and in that capacity have
been duly authorized by this o anization 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 M a c Lc— 20_ _
gnat e
TO BE COMPLETED BY NOTARY PUBLIC ONLY:
State of Georgia, County of
Fa&VIII,
On this 110 day of rn 20 ) 1
Who is personally known to me.
Whose identity I proved on the basis of
Whose identity I proved on the oath/affirmation of
Sworn to and subscribed before me this day of
Notary Public:
(SEAL)
personally appeared before me.
My Commission Expires:
a credible witness.
This form is to be filed in the OFFICE OF THE CITY CLERK, City of Milton,
200.6 Heritage Walk, Milton, Georgia 30004.
www.cityofmiltongo.us
Revision Date: 05.2018