HomeMy WebLinkAboutPublic Comment Card CC - 06/23/2011 - Public Comment Card (ZM 11-01) 05 16 11horZM'J01 '1A°'e4A"j-r--Olz-Cit of Milton
PUBLIC COMMENT CARD (Please print & fill in completely)
(Circle One)
Public Com t l Agenda Item` No. / Zoning Case No:: 1-\A Date: b
Name �� �� ey i r % K—Support - or. ❑ Oppose
Addre
Q'
Phone No.: 7 � fL*'�•�"'-L
I am a Milton resident. tt Yes 0 N
/am a Milton business owner 11�r
Yes ? Tio
,�,s1- U 1 am a local lobbyist duly registered with the State Ethics Commission
Group Affiliation (if any)f Applicant ❑ 1 am a paid representative of either the support or opposition
or neighborhood ❑ Other
Check what may apply: C-1 wish to speak or ❑ I do not wish to speak, but want my comments read into the record.
1' Complete the;eard mciuclI g case -?number, your name address, and phone number..
2. Submit the card to the City Clerk staff.
3. When, your name is called and you wish tospeak,.approach the podium speaking directly into the microphone stating your�name and -address for the record.
Ouestion/Comment.
If rezoning hearing (only) check what may apply: []Yes Crl"—O**Within the (2) years immediately preceding the filinq of this
zoning petition have you, as the applicant or opponent for the rezoning petition or an attorney or agent of the applicant or opponent for the rezoning
petition, made any campaign contributions aggreaatinq $250.00 or more or made aifts having an aaareaate 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 prior 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. § 36-67A-4, knowing failure to comply with this requirement constitutes a misdemeanor. Accordingly, an individual
who has made contributions exceeding the above amount within the past two years who has not complied with this disclosure requirement is
strongly advised not to participate in public comment opposing the application.
For Zfn- ,vI
a
PUBLIC COMMENT CARD (Please print & fill in complete,,) 1 t
Date:
of Milton
1 am a Milton resident. ,.e- es 0 No
70 �^ � �
lama Milton business owner 0 Yes Q No
Phone No.: � L/
+cam / 7
D 1 am a local lobbyist duly registered with the State Ethics Commission
Group Affiliation (if any) 0 Applicant O� E /,am pai representative of either the support or o po ition
or neighborhood ther
ti
Check what may apply: I wish to speak or ❑ 1 do not wish to speak, but want my comments read into the record.
If rezoning hearing (only) check what may apply: []Yes ❑ No**Within the (2) years immediately preceding the filing of this
zoning petition have you as the applicant 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 having 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 prior 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. § 36-67A-4, knowing failure to comply with this requirement constitutes a misdemeanor. Accordingly, an individual
who has made contributions exceeding the above amount within the past two years who has not complied with this disclosure requirement is
strongly advised not to participate in public comment opposing the application.