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Public Comment Card CC - 01/18/2012 - Public Comment Cards 01 18 12
PUBLIC COMMENT CARD (Please print & fill in completely) Name 5co'q(�;- Address TIK1 ! l4- ........___ ............. __._._............. Cwt ovW-'.)ly.l sT� CucvS Phone No.: 7© —(0& Group Affiliation (if any)I �jpplica or neighborhood they _ citv of Milton 'a+ a local lobbyist duly registered with the State Ethics Commission Iam a p ids representative of either the support or opposition Check what may apply: Wi wish to speak or 0 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 Citv 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 PUBLIC COMMENT CARD (Please print & fill in completely) C i t N Date: of Milton I am a Milton resident. 0 Yes ❑ No /am a Milton business owner ❑ Yes ❑ No Phone No.: C11 am a local lobbyist duly registered with the State Ethics Commission Group Affiliation (if any) 0 Applicant ❑ I am a paid representative of either the support or opposition or neighborhood 0 Other Check what may apply --(G1 wish to speak or 0 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. PUBLIC COMMENT CARD (Please print & fill in completely) i 1. 21 4 of Milton Date: 1 am a Milton resident. ❑ Yes ❑ No 41�- 1 am a Milton business owner ❑ Yes LiNo Phone No.: �7��1�J..7�7 1 am a local lobbyist duly registered with the State Ethics Commission Group Affiliation (if any) Applicant 1 am a paid representative of either the support or opposition or neighborhood ci Other Check what may apply: t, I wish to speak or 0 I 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. PUBLIC COMMENT CARD (Please print & fill in completely) City of Milton Check what may apply:.K1 wish to speak or El I do not wish to speak, but want my 66mments 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. ■ PUBLIC COMMENT CARD (Please print & fill in completely) C i t y Of M It 0 n or neighborhood Ell Other Check what may apply: d 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.