HomeMy WebLinkAboutPublic Comment Card CC - 02/21/2018 - GENERALPUBLIC COMMENT CARD (Please print & fill in com letel
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� ESTA�LISIED 2006
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:
XI would like to make a General Comment that does NOT pertain to an Agenda Item or Zoning Case. (skip to Today's Date)
I I would like to speak about an Agenda Item or Zoning Case. **(Please indicate Agenda Item No. below)**
Agenda Item No.:,
Zoning Case No. :
TODAY'S DATE:
2,VIsQ
NAME: 1-11 `" i
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ADDRESS: 2� "c M 4 W col) Q M V 6
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PHONE: 4 ZZ J �� 7 �tkvwool�, &.9MA1005
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Please check ALL that apply:
I am in SUPPORT of this Agenda Item
i I am in OPPOSITION of this Agenda Item
/rl am a Milton resident
I am a Milton business owner rdform) I am a local lobbyist duly registered with the State Ethics Commission ultwcAkw
I I am a paid representative of either the support or opposition
I am affiliated with a Group or Neighborhood' Name of Group/Neighborhood *(complete attac
I ***You are required to fill out the attached Affidavit before speaking on behalf of the group you are repre�
want to speak about this Agenda Item Uj l h6
I DO NOT want to speak but I would like a following comments read into the record: 50 Lt &An 0—Y,
(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 TOTAL of ten minutes. This means that ALL
people who wish to speak in OPPOSITION have a total of ten minutes as a group.
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If you have made any campaign contributions to a Councilmember aggregating $250.00 or more please
check "yes" or "no" : []Yes XNo.
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.
HOME OF 'THE BEST QUALITY OF LIFE IN GEORGIA'
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ESTABLISHED 2006
AFFIDAVIT FOR REPRESENTATIVE OF
HOMEOWNERS ASSOCATION, ORGNIZATION, OR GROUP AFFILIATION
I
�PqK I, hereby warrant and represent that I am a member of
the ?4-649 "t "tri" �i��'� SQuIV���� A%P4Allofj and in that capacity have been duly authorized
by this organization 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) #_
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This _2A— day of f;L 1904 01_ 20 19
Signature
TO BE COMPLETED BY NOTARY PUBLIC ONLY:
State of Geor i
County of2
On this 2 sr day of ,20
Who is personally known to me.
Whose identity I proved on the basis of
Whose identity I proved on the oath/affirmation of
personally appeared before me.
a credible witness.
S L
Sworn to and subscribed before me this Z day of � b
Notary Public: k)'Al'pz -
My Commission Expires:
(SEAL)
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Titis form is to be filed in the OFFICE OF THE CITY CLERK, City of Milton, 2006 Heritage Walk, Milton,
Georgia 30004.