HomeMy WebLinkAboutCitizen Comments (2)REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEACH
SfA IT, LNE N, LOYE IT
The City is required by state law to keep minutes of City Commission meetings. To properly identifu
persons rlho address the City Commission in those minutes, the City requess that this form be completed
and provided to the City Clerk, before the meeting begins.
DATE OF CO ssroN MEETTNG, 3-lD .20
PRINTNAME
ADDRTSS
PHONE NO. lopti onal):
PLEASE
Lxbocj,.,s@e$rrra]-nEMAIL ADDRISS:
HfCK R BOTH OF THE BOXf,S BELOW:
l)CITIZEN COMMENTS
Comments by Dania Beach citizeDs or interested paties ttrar are not part of the regular printed €enda may be made during each
Commission meeting during the period set aside for "Citizen Corrunents." A thiny (30) minute "Citizen Comments ' period shall
be designated on the agenda for citizeff and interested persons to sp€a.k on matteN not scheduled on that day's agenda. Each
spealer shall b€ limited to 3 minutes for his or her commenls. Persons dcsiring to speak during fte citizen comment period shall
inform the City Clerk immediately prior to the beginring of the meeting of their intention to speak. lf morc than l0 speakers
exprcss a desire to sleak, the Commission shall determine on a meeting by meeting basis whelher to (a) extend the time allotted
for citizen comments to accommodate all speakeN, or (b) whether to limit the number of speakers or amouot of time per speaker.
A speaker's time shall nol be tr-dndemble to another speaker.
i_l
m
2\i-l PL,tsLtc HEARINGS - ITEM #(AS PRINTED ON AGENDA)
PLEASE NOTE: IF YOU WISH TO SPEAK ON AN ITEM TIIAT PERTAINS TO A 'ZONING" TYPE OF MATTER (FOR EXAMPLE, A
SITE PI"AN. VARIANCE, SPECTAL EXCEPTION OR SIMILAR TYPE OF ITEM KNOWN AS A 'QUASI.JUDICIAI" MATTE& YOU
ARE STJBJECT TO BEING ASKED TO SWEAR OR AIFIRM THAT YOU WILL BE TRUTHTUL AS TO YOI'R COMMENTS OR
TESTIMONY, YOU MAY ALSO BE SUBJECT TO QUESTIONS ASKXD OF YOU BY AN APPLICANT OR AN APPLICANT'S
REPRESENTAIIVE OR ATTORNEY \I'HICH RELATE TO TiiE ITEM,
ANY PERSON WHO DECIDES TO APPEAL ANY DECISION MADE WITH RECARD TO ANY MATTER CONSIDERED AT THIS
MEETNG OR HEARNG \I'ILL NEED A RECOR.D OF THE PROCEEDING, AND FOR SUCH PURPOSE N,IA.Y NEED TO ENSURE
TI.I.AT A \ERB-ATIM RECORD OF IHE PROCEEDING IS Itf,ADE WHICH RECORD INCLT]DES THE TESTIMONY AND EVIDENCE
UPON WHICH THE .APPEAI IS TO BE BASED,
LOBBY1ST REGISTRA.TION IS REQUIRED. PRIOR TO ENGAGING tN ANY LOBBYING ACTIITIIES, WHETHER OR NOT
COMPENSATION IS PAID OR RECEIVED IN CONNECTION WITH IHOSE ACTIVIUES, EACH LOBBYIST SHALL FILE WITH T}IE
CITY CLERK AN ANNI]AL REGISTRA.IION STATEMENT AN'D PAY AN ANNUAL TWO HTNDRED FIFTY DOLLAXS ($25O.OO)
REGISTRATION FEE FOR EACH PRINCIPAL OR EMPLOYER. RECISTRATION FORMS ARE AVAILABLE ON THE CITY WEBSITE:
wl} w--,.DANIABEACTIr L.COv. (OITDN,ANCE f2012{19; AMENDED BY ORDINANCE #2019-019)
Y:\Cit-v Clerk\Docurnents\Ciry Commissaon tUeerings\PLTBLIC SPEAKING FORM (002).doc
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT:
CV{ *unn
Conrrr,rcsvn \r\+UBREUEST TO ADDRESS
CITY O CH
DANI.A BEACH CO EVE,L AGENCY
COHMUNITY BEOEVELOPMENT A6EIICY OR SPECIAL ME
The Community Redevelopment Agency (CRA) is required by state law to keep minutes of CRA
Board meetings. To properly identifr persons who address the CRA in those minutes, the CRA
requests that this form be completed and provided to the CRA Secretary, before the meeting
begins.
DATEoFCRABoARDMEE,aI}. I,]A{C,fi IO,2 o2(/'
PRINTNAME:0l'1
ADDRESS:o0 F2
PHONE NO. (optional):
1)CITIZEN COMMENTS
Comments by Dania Beach citizens or interested parties that are not part ofthe regular printed agenda may be made
during each CRA Board meeting during the period set aside for "Citizen Comments." Each speaker shall be limited
to 3 minutes for his or her comments. Persons desiring to speak during the citizen comment period shall inform the
CRA Secretary immediately prior to the beginning ofthe meeting of their intention to speak.
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT:
C q/ fltonut ?a r/'-
ANY PERSON WHO DECIDES TO APPEAI ANY DECISION MADE WITH REGARD TO ANY MATTER CONSIDERED
AT THIS MEETING OR HEARING WILL NEED A RICORD OF THE PROCEEDING, AND FOR SUCH PTJRPOSE MAY
NEED TO ENSI]RE TIIAT A \'ERBATIM RECORD OF THE PROCEEDING IS MADE WHICH RECORD INCLUDES
THE TESTIMONY AND EVIDENCE TJPON WHICH THE APPEAL IS TO BE BASED,
LOBBYIST REGISTRATION IS REQUIRED. PRIOR TO ENGAGING IN ANY LOBBYING ACTI\'ITIES. WHETHER OR
NOT COMPENSATION IS PAID OR RECEIVED IN CONNECTION WTIH THOSE ACTIVITIES, EACH LOBBYIST
SHALL FILE WITH THE CITY CLERK AN ANNUAL RECISTRATION STATEMENT AND PAY AN ANNUAI TWO
HTNDRED FtrTY DOLLARS ($25O.OO) REGISTRATION FEE FOR EACH PRINCIPAI- OR EMPLOYER.
RECISTRATION FORMS ARE AVAILABLE ON THE CITY WEBSITE: WVW.DANIABEACHFL.GOV. (ORDINANCE
#2012-019; AMENDED BY ORDINANCE #2019-019)
PLEASE CTIECK ONE OR BOTH OF TTIE ITEMS BELOW:
2)
-
AGENDA ITEM #- (AS PRINTED ON AGENDA)
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEA(H
SEA IT LIYE II LOW IT
The City is required by state law to keep minutes of City Commission meetings. To properly identi!
persons who address the City Commission in those minutes, the City requests that this form be completed
and provided to the City Clerk. before the meeting begins.
DATE OF COMMISSION ETING: //IA 20L6
PRINT NAME
ADDRESS ur" ,{€ <
PHONE NO. (optional):EMAIL ADDRESS
pLEASE cHnlx ol{r oR BorH oF THE BoXES BELow:
-/l)CITIZEN COMMENTS:
Comments by Dania Beach citizens or interested parties lhat are not pan of the regular print€d agenda may be made during each
Commission meeting during the period set aside for "Citizen Comments." A thirty (30) minute "Citizen Comments" period shall
bc designated on the agenda for citizens and intere$ed persons to speak on maners not scheduled on thal day's agenda Each
speaker shall be limited to 3 minutes for his or her comments. Persons desiring to speak during the citizen clmment period shall
inform the City Cierk immediately prior to the beginning of the meeting of tleir intention to speak. lf more than l0 speakers
elpress a desie to speak, the Commission shall determine on a mceting by meeting basis whether to (a) eldend the time allotted
for citizen comments to accommodate all speakers, or (b) whether to limit the number of speakers or amount of time per speaker.
A speaker's time shall not be transferable to arother speaker.
PLEA tISE BRIEFI-Y DESC RIBE THE SI,]BJECT MATTER OF YOUR COMMENT:
;/4 S1
(-
2)PIJBI,IC TII,ARINGS _ ITEM #ZZ -677-D-7
t/L(AS PRINTED ON AGENDA
)
PLEASE NOTE: IF YOU wlSH TO SPEAK ON AN ITEM T}1AT PERTAINS TO A .ZONING" TYPE OF MATTER (FOR EXAMPLE, A
SITE PLAN, VARIANCE, SPECIAL EXCEPTION OR SIMILAR T\?E OF TTEM KNOWN AS A "QUASI-JTJDICL{L" MATTE& YOU
ARE SUBJECT TO BEING ASKED TO SWEAR OR AIFIRM THAT YOU W]LL BE TRLTTHFI,IL AS TO YOL'R COMMENTS OR
TESTIITIONY- }.OU MAY ALSO BE SUBJECT TO QUESTIONS ASKED OF YOU BY AN APPLICANT OR AN APPLICANI'S
REPRESENTATIVE OR ATTORNEY WHICH RELATE TO THE ITEM.
ANY PERSON WHO DECIDES TO APPEAL .AN.t- DECISTON MADE WITH REGARD TO ANY MATTER CONSIDERED AT THIS
MLETING OR HEARINC WILL NEED A RECORD OF TT{E PROCEEDING, AjVD FOR SUCH PTJRPOSE I{A.Y NEED TO ENSURE
THAT A VERBATM RECORD OF THE PROCEEDING IS NIADE WHICH RECORD TNCLUDES THE TESTIMONY AND EVIDENCE
UPON WHICH IHE APPEAL IS TO BE BASED,
LOBBYIST REGISTRATION IS REQUIRED, PRIOR TO ENGAGING IN ANY LOBBYING ACTIVITIES, WHETHER OR NOT
COMPENSATION IS PAID OR RECEIVED IN CONNECTION WIIH THOSE ACTIVIflES, EACH LOBBI-IST SIIALL FILE WIIH THE
CN'Y CLERK AN ANNT]AL REGISTLA.TION ST.A.TEMENT AND PAY AN .A\NUAL T1\'O HTNDRED FIFTY DOLLARS ($25O,OO)
REGISTRATION FEE FOR EACH PRINCIPAI OR EMPLO\TR. RIGISTRATION FORMS AIIE AV{LABLE ON TI-IE CITY UTBSITE:
W\\'I,'.DANL{BEACHIL.GOv. (ORDIN.ANCE #2012{19; AMENDED BY ORDINANCE #2019-019)
Y:\Cit-v Clerk\Documents\City Comrnission Me€tings\PUBLIC SPEAKING FORM i002).doc
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BEACH
RE LOPMENT AGENCYDANIA BEACH CO
CITIZEN COMMENTS:
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MEETINGSCOMMUNITY BEOEV€IOPMENT AGENCY
The Community Redevelopment Agency (CRA) is required by state law to keep minutes of CRA
Board meetings. To properly identifr persons who address the CRA in those minutes, the CRA
requests that this form be completed and provided to the CRA Secretary, before the meeting
begins.
DATE OF CRA BOARD MEETING:3 0 204
PRINTNAME:
ADDRESS:27 G,
PHONE NO. (optional):7 4oo
PLEASE CHECK ONE OR BOTH OF TIIE ITEMS BELOW:
1)
Comments by Dania Beach citizens or interested parties that are not part of lhe regular printed agenda may be made
during each CRA Board meeting during the period set aside for "Citizen Comments." Each speaker shall be limited
to 3 minutes for his or her comments. Persons desiring to speak during the citizen comment period shall inform the
CRA Secretary immediately prior to the beginning of the meeting oftheir intention to speak.
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT
w cofvrM A
I C
2)AGENDAITEM#(AS PRINTED ON AGENDA)
ANY PERSON WHO DECIDES TO APPEAI ANY DECISION MADE WITH REGARD TO ANY MATTER CONSIDERED
AT THIS MEETING OR HEARING WILL NEED A RECORD OF T}IE PROCEEDING, AND FOR SUCH PURPOSE MAY
NEED TO ENSIIRE TIIAT A VERBATIM RECORD OF TIIE PROCEEDING IS MADE WHICH RXCORD INCLUDES
THE TESTIMONY AND EVIDENCE UPON WHICH THE APPEAI IS TO BE BASED.
LOBBYIST REGISTRATION IS REQI.NRED. PRIOR TO ENGACING IN ANY LOBBYING ACTIVITIES. WHETHER OR
NOT COMPENSATION IS PAID OR RECEIVED IN CONNECTION WITH THOSE ACTIVITIES, EACH LOBBYIST
SIIALL FILE WITH T}IE CITY CLERK AN ANNUAI REGISTRATION STATEMENT AND PAY AN ANNUAL TWO
HLNDRED FIFTY DOLLARS ($25O.OO) REGISTRATION FEE FOR EACH PRINCIPAT OR EMPLOYER.
REGISTRATION FORMS ARE AVATLABLE ON THE CITY WEBSITE: WWW.DANIABEACIIFL.GOV. (ORDINANCE
#2012-019; AMENDED BY ORDINANCE #2019-019)
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECTAL MEETINGS
DANIA BEACH
SEA I LIYE IT LOVE IT
The Ciry is required by state law to keep minutes of City Commission meetings. To properly identif
persons who address the City Commission in those minutes. the City requests that this form be completed
and provided to the Citl Clerk. before the meeting begins.
DATE OF COMMISSION MEETING: t23 20 20
PRINT NAME Cealio T"aC
ADDRESS 21 2sts 7+Lr-L-,-
PHONE NO. (optional):
PLEASE CHICK ONf OR BOTH OF THE BOXf,S BELOW:
l) i- X crnzEN coMMENTS:
Commens bl Dbnia Beach citizens or irterested parties that are not part of the regular printed agenda may be made during each
Commission-meeting during the period set aside for "Citizen Comments.- A thirt)' (30) minute 'ttizen Comments" period shall
be designated on the agenda for citizens and interested persons to speak on matten not scheduled on that day's agenda. Each
speaker shall be limited to 3 minutes for his or her comments. Persons desiring to speak during tie citizen commetrt period shall
inform the Cit) Cierk immediately prior to &e beginning of tle meeting of their intention to speak. If more tlmn l0 speakers
e\press a desire to speak, the Commission shall determine on a meeting by meeting basis whether to (a) extend the time allotted
for citizen comments to accommodate all speakers, or (b) whether to limit the number of speakers or amount of time per speaker.
A speaker's time shall not be hansferable to another speaker.
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT
'i0 Ni) NtLT o oise-
2)i,-, pg31-16 HEARINGS - ITEM #(AS PRINTED ON AGENDA)
PLEASE NOrE: lF YOU wlSH TO SPEAK ON AN ITEM THAT PERTAINS TO A'ZONING" Tl?E OF N,IATTER (FOR EXAMPLE, A
SITE PLAN, VARIANCE. SPECIAL EXCEPTION OR SIMILAR TYPE OF ITEM KNOWN AS A "QUASI-JLIDICIAL" IVIATTER, YOU
ARE SUBJECT TO BEING ASKED TO SWEAR OR A-FFIRN{ TTL\T YOU WILL BE TRLNHFUL AS TO YOI-'R COMMENTS OR
IESTINIONY. YOU N1AY -AISO BE SUBJECT TO QLIESTIONS ASKED OF YOU BY AN APPLICANT OR AN APPLICANT'S
REPRESENTA]IVE OR ATTORNEY WHICH RXLATE I'O THE ITEIU,
ANY PERSON WHO DECIDES TO APPEAI- .!NY DECISION }\,,l,{DE WITII REGARD TO ANY M,\TTER CONSIDERED AT THIS
MEETNG OR HEARING W]LL NEED A RECORD OF IIIE PROCEEDING, AND FOR SIJCH PURPOSE N4\Y NEED TO ENSURE
TIL{T A \ERB-ATIIU RECORD OF THE PROCEEDING IS LGDE WI{ICH RECORD INCLT'DES T}IE TESTIMONY AND EVIDENCE
I}ON WHICH THE .A,PPEAL IS TO BE BASED.
LOBB\'IST REGISTR{TION IS REQUIRED PRIOR TO ENGAGING IN ANY LOBBYING ACTIVITIES, WHETHER OR NOT
COMPENSATION IS PAID OR RECEIVED IN CONNECTION WITH TFIOSE ACTIVITIES. EACH LOBBY1ST SiIA.LL FILE WITH TIIE
CITY CLERIi AN ANNTIAL REGISTRA.TION STATEMENT AND PAY AN N$NUAT TWO HLbIDRED FlrTY DOLLA]iS ($2JO,OO)
REGISTRATION FEE FOR EACH PRINCIPAL OR EIVIPLO\TR, REGISTRATION FORIVIS ARE AV-AILABLE ON TIIE CITY WEBSITE:
\\rl 'W.DANIABEACHIL.GOV. (ORDINANCE #2012-019; AIVIENDED BY ORDIN-ANCE #2019-019)
Y:\Cir]- Clerk\Documents\CiB Commission Nlcelings\PLTBLIC SPEAIiING FORNI (002).doc
EMAIL ADDRTSS:
REQUEST TO ADDRESS
CITY COMMISSTON AT REGULAR
OR SPECIAL MEETINGS
p4a
O^P, fP
Frr'rfDANIA BEA(H
sEA T LVE IT LOVE '
The City is required by state law to keep minutes of City Commission meetings. To properly identi!
persons who address the City Commission in those minutes, the City requests that this form be completed
and provided to the City Clerk. before the meeting begins.
DATE OF COMMISSION MEETING 20:j7z
\
PRINTNAME:i /l+ S(,)1
C>\e!.4ue-
G
ADDRESS:
EMAIL ADDRESS a-q lSa3
PLEASE CHECK O NE OR BOTH OF TIII BOXES BELOW:
l) ifi_ crrrZEN coMMENTS:
Comments by Dania Beach citizens or intercsted parties 0lat are not part of the regular printed agenda may be madc during each
Commission meeting during the period set aside for "Citizen Cornments." A thifty (30) minute "Citizen Commens ' period shall
be designaied oD the agenda for citizens and interested persons to speak on matters not scheduled on that day's agenda- Each
speaker shall be limiled to 3 minutes for his or her comments. PersoDs desirilg to speak during the citizen comment period shall
inform the City Clc.k immediately prior to the beginning of the meeting of their intention to speak. If more than l0 speakers
express a desire to speak, the Commission shall dctermine on a meeting by meeting basis whethfi to (a) ext€od thc time allofted
for citizen comments to accommodate all speakers, or (b) whether to limit the number of speakers or amount of time per speaker.
A speaker's time shall not be transferable ro another speaker.
J)
,ie (
tlor>sH N ruttflilARE
2)rn puBI-rc mARTNGS - rrEM # ll- I (AS pRINTED oN AGENDA)
PLEASE NOTE: IF YOU llrISH TO SPEAK ON AN ITEM TIIAT PERTAINS TO A'ZONING" TYPE OF MATTER (FOR ELq.MPLE, A
SITE PLAN. VARIANCE, SPECIAI EXCEPTION OR SIMLAR T1?E OF ITEM KNOWN AS A .QUASI.JUDICIAL" I\4{TTE& YOU
ARE SUBJECT TO BENG ASKED TO SWEAR OR AFFIRM TIIAT YOU WILL BE TRUTHFLL AS TO YOUR COMMENTS OR
TESTINIONY YOU t{AY -ALSO BE SUBJECT TO QUESNONS ASKED OF YOU BY AN AIPLICANT OR AN APPLICANT'S
REPRESENTAIT!'E OR A]'TORNEY WHICH RELATE TO lHE ITEM.
.ANY PERSON WHO DECIDES TO APPEAL .AN1' DECISION NI,ADE W'ITH REGARD TO A}IY MATTER CONSIDERTD AT THIS
MEETING OR HEARING WILL NEED A RECORD OF T}IE PROCEEDING, AND FOR SUCH PURPOSE [4AY NEED IO ENSURE
TH-{T A VERBATIM RECORD OF IHE PROCEEDING IS NTADE WHiCH RECORD INCLLTDES THE IESTMONY AND EVIDENCE
UPON \!'HICH THE APPEAL IS TO BE BASED,
LOBB}'IST REGISTRA.TION IS REQUIRED. PRIOR TO ENGAGINC IN AI'{Y LOBBYING ACTNTIIES, WHETHER OR NOT
COMPENSATION IS PAID OR RECEIVED IN CONNECTION WITH THOSE ACTIVTIIES, EACH LOBBYIST S}IALL FILE WITH T}IE
CITY CLERK AN ANNT]AL REGISTR-A.TION STATEMENT AND PAY AN ANNUAL TWO HUNDR.ED FIFTY DOLLARS ($250-OO)
REGISTRATION FEE FOR EACH PRINCIPAI- OR EMPLOYER, R.EGISTRAT]ON FORMS ARE AV.AILABLE ON THE CITY WEBSITE:
rv!1['\.t-.DANIABEACIIFL.COV. (ORDIN.ANCE *2012{r9; ANIENDED BY ORDINANCE *2019{19)
Y:\Ci!v Clerk\Documents\Cir.! Commiss,on MeetinBs\PUBLIC SPEAKING FORM (002).doc
ta
PHONE NO. (optional):
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT:
REQUEST TO ADDRESS
CITY COMMISSTON AT REGULAR
OR SPECIAL MEETINGS
?Vout
333t2
Oa//
ADDRESS
DANIA BEACH
sEA IT LIVE IT IOVE IT
The Citv is required by state law to keep minutes of City Commission meetings. To properly identifu
persons who address the City Commission in those minutes, the City requests that this form be completed
and provided to the City Clerk, before the meeting begins.
DATE OF COMMISSION MEE G 3 -lo -Jo .zo
PRINT NAME:h,
1A
PHONE NO. (optional)0 0l ZWsO$to,. ADDRESS: 'r0n,l. sPrL2cr';o2-qfi<-rl ho.-v
PLEASE CHECK ONf OR BOTH OF THE BOXES BELOW:
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT
(1,!l
PLEASE NOTE: IF YOU \{ISH TO SPEAK ON AN ITEM TttAT PERTAINS TO A "ZONING' T\?E OF MATTER (fOR EXAMPLE, A
SITE PLAN, VARITTNCE. SPECIAL EXCEPTION OR SIMILAR TYPE OF ITEM KNOWN AS A 'QUASI-JI DICI.AI" MATTE& YOU
ARE SLIBJECT TO BEING ASKED TO SWEAR OR AFFIRM THAT YOU wlLL BE TRUT}IFUL AS TO YOTJR COMMENTS OR
TESTINIONY. YOU MAY AISO BE SUBJECT TO QUESTIONS ASKED OF YOU BY AN APPLICANT OR AN APPLICANT'S
REPRESENTATIVE OR ATTORNEY WHICH RELATE 10 THE ITEM,
ANY PERSON wHO DECTDES TO APPEAL AN1' DECISION t\dA,DE wlTH REGARD TO ANY MATTER CONSIDERED AT THIS
MEETNG OR HEARINC WLL NEED A RECORD OF T}IE PROCEEDING, AND FOR SUCH PURPOSE MAY NEED TO ENSIIRE
THAT A VERBATIM RECORD OF THE PROCEEDINC IS N{,A.DE WHICH RECORD NCLT]DES THE IESTIMONY AND EVIDENCE
UPON WHICH THE .A.PPEAI IS TO BE BASED.
2)PUBLIC HEARINGS _ ITEM #(AS PRINTED ON AGENDA)
LOBBYIST REGISTRATION tS REQTNRED, PRIOR TO ENGAGING IN AI.IY LOBBYING ACTTIVTITES, WT.IETTIER OR NOT
COMPENSATION IS PAID OR RECEIVED IN CONNECTION WITH THOSE ACTIVITIES, EACH LOBBYST SHALL FTLE WITH THE
CITY CLERK AN ANNUAL RECISTR,{TION STAIEMENT AND PAY AN ANNUAL T'*O HUNDRED FIFTY DOLL.ARS ($25O.OO)
REGISTRATION FEE FOR EACH PRINCTPAI OR EMPLOYER. REGISTRATION FORMS ARE AV.AILABLE ON THE CITY I'EBSITE:
U:Ww.DANIABEACHFL.GOv. (ORDIN-ANCE #2012{19: AMENDED BY OR-DINA]IICE #2019-019)
Y:\Ci!v Clerk\Documents\Cit, Commission Meetings\PltBlIC SPEAKNG FORM (002).doc
^...&et/
l) Lr _CITIZEN COMMENTS:
Comments by Dania Beach citizens or interested parties that are not part of the regular printed agenda may be made dudng each
Commission meeting dudng the period sel aside for "Citizcn Comments." A thifly (30) minute "Citizen Comments" period shall
be designated on the agenda for citizens and interested persons to speak on matters not scheduled on that day's agenda- Each
speaker shall be limited to 3 minutes for his or her comments. PeBoDs desiring to speak durhg the citizen comme[t period shall
inform the City Clerk irnmediately prior to tie beginning of the meeting of their intontion to speak. If more than l0 speakers
expr€ss a desire to spea}, the Commission shatl determine on a meeting by meetin8 basis whether to (a) extend the time allott€d
for citizen comments to accommodare all sleakers, or (b) whether to limit the number of sp€ake$ or amount of time per speaker.
A speaker's time shall not be uansferable to another speaker.
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS ?octg
0all
3f ol
The City is required by state law to k€ep minutes of City Commission meetings. To properly identi$
persons who address the City Commission in those minutes, the City requests that this form be completed
and provided to the Ciry" Clerk, before the meeting begins.
DATE OF COMMISSION MEETING lo z_u,20
PRINT NAME:/K5f7 6 ()€
>)n Sun Al-{I &vv cvt--o
PHONE NO. (optional):EMAILADDRESS' 5AbtrC{T q ol , cwt
PLEASE CHECK ON OR BOTH OF THE BOXIS BELOW:
t) il _CITIZENCoMMENTS:
Comments by Dada Bcach citizens or interested parties that are not part of the regular printed agenda may be made during each
Commission meeting dudng the period set aside for "Citizen Comments." A thifty (30) miDute "Citizen Commeflts" period shall
be designaled on the agenda for citizens and interested pcrsons to speak on matters lrot scheduled on that day's agenda Each
speaker shall be limited to 3 minutes for his oI her comments. Pe$ons desirilg to speak during the citizen camment poriod shall
inform the City Clerk immediately prior to the begirming of the me€ting of their intention to speak. If more than l0 speakers
express a desire to speak, the Commission shall determine on a meeting by meeting basis wherher to (a) extend the time allotted
for citizen comments to accommodate all speakers, o! (b) whether to limit the number of speakers or amoutrt of time per speaker.
A speaker's time shall not be transferable to another speaker.
PLEASE BRIEFLY DESCRIBE TI{E SUBJECT MATTER OF YOUR COMMENT
i'1,"e
2)PLIBLIC HEARINGS _ ITEM #l.)
PLEASE NOTE: IF YOU $'ISH TO SPEAK ON AN mM THAT PERTAINS TO A'ZONING" TYPE OF MATTER (FOR EXAMPLE, A
SITE PLAN, VARIANCE, SPECIAL EXCEMON OR SIMILAR TYPE OF TTEM KNOWN AS A "QUASI.JUDICIAL" MAfiER" YOU
ARE SUBJECT TO BEING ASKED TO SWEAR OR ATFIRM TIIAT YOU WILL BE TRUTHFTJL AS TO I'OUR COMMENTS OR
TEST&'ONY, YOU MAY ALSO BE SUBJECT TO QTJESTIONS ASKID OF YOU BY AN A}PLICANT OR AN A.PPLICANT'S
REPRESENTATIVE OR ATTORNEY WHICH RELATE TO T}IE [TEM,
ANY PERSON WHO DECIDES TO APPEAL .4.N1' DECISION MADE WITH REGARD TO ANY MAI-TER CONSIDERED AT THIS
MEETING OR HEARING WILL NEED A RECORD OF T}IE PROCEEDING, AND FOR SUCH PURPOSE MAY NEED TO ENSI]RE
TTL{T A VERBATM RECORD OF IHE PROCEEDING IS T4ADE WHICH RECORD INCLT'DES THE TESTMONY AND EVIDENCE
UPON WHICH THE ,APPEAL IS TO BE BASED,
LOBBYIST REGISTRATION 1S REQUIRED. PRIOR TO ENGACING TN ANl' LOBBYING ACTI\]TTIES, WHETHER OR NOT
COMPENSATION IS PAID OR RECEIVED IN CONNECTION WIIH THOSE ACTIVITIES, EACH LOBBYIST SIIA.LL FILE WITH THE
CIIY CLERK AN ANNIIAf REGISTRA.TION STATEMENT AND PAY AN ANNUAL T\I'O HIJNDRED FTFTY DOLLARS ($25O,OO)
REGISTRATION FEE FOR EACH PRINCIPAL OR EMPLOI'ER. REGISTRATION FORMS ARE AVAILABLE ON IHE CITY WEBSITE:
i!1l'w.DANIABEACHFL.COv. (ORDIN.ANCE #2012{19; ANTENDED BY ORDINANCE #2019-019)
Yr\Ci!v Clerk\Documen6\Ciry Commission lvl€etings\PLtsLIC SPEAKINC FORM r002).doc
DANIA BEA(H
s€arT LrvE rT LovE 11
ADDRESS:
(AS PRINTED ON AGENDA)4_
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEACH
SEA IT LIYE IT LOVE II
The City is required by state law to keep minutes of City Commission meetings. To properly identifo
persons rvho address the City Commission in those minutes. the Cit_v requests that this form be completed
and provided to the Citv Clerk. before the meeting begins.
DATE OF COMMISSION MEETING o 20]Jl
PRINTNAME ^J
)o,t 17ua
PHONE NO. (optional):
PLEASE CHECK ONE OR BOTH OF THf, BOXES BELOW:
1) Ll_CITIZENCOMMENTS:
Commens by Dania Beach citizens or interested parties that are not part of the regular printed agenda may be made during each
Commission meeting during lhe period set aside for "Citizen Comments." A thirry (30) minute "Citizen Comments" period shall
be desiglated ol the agenda for citizens and iDterested persons to speak on matteG not scheduled on thal day's agenda- Each
speaker shall be limited to 3 minutes for his or her comments. Persons desiring to speak during the citizen comment period shall
inform the City Clerk immediately prior to the beginning ofthe meeting of their intention to speak. If more than l0 speakers
express a desire to speak, the Commission shall detemine on a meeting by meeting basis whether to (a) exteld the time allottcd
for citizen comments to accommodate all speakers, or (b) whether to limil the number of speakers or amount of time per speaker.
A speaker's time shall not be aansferable to another speaker.
PLEASE BRIEFLY DESCRIBE TI{E SUBJECT MATTER OF YOUR COMMENT:
'**fffffi'a"
2\PUBLIC HEARINGS _ITEM # I}(AS PRINTED ON AGENDA)
PLEASE NOTE: lF YOU WISH TO SPEAK ON AN ITEM T1IAT PERTAINS IO A 'ZONING" TYPE OF MAI-rER (FOR EXAMPLE, A
SITE PLAN, VARIANCE, SPECIAL EXCEPTION OR SIMILAR Tl?E OF ITEM KNOWN AS A 'QUASI.JUDICIAL" MATTER, YOU
ARE SUBJECT TO BEINC ASKED TO SWEAR OR AIFIRM T}IAT YOU WILL BE TRUT TUL AS TO YOUR COMMENTS OR
TESTITIiONY. YOU MAY ALSO BE SUBJECT TO QUESTIONS ASrED OF YOU BY AN APPLICANT OR AN APPLICANT'S
R EPRESENTATIVE OR ATTORNEY WHICH REI-ATE TO THE ITEI\I,
I
ANY PERSON WHO DECIDES TO APPEAL A].TT' DECISION M{DE W-ITH REGARD TO ANY MATTER CONSIDERED AT THIS
MEETING OR HEARING WILL NEED A RECORD OF T}IE PROCEEDINC, AND FOR SUCH PURPOSE MAY NEED TO ENSURE
TII-AT A VERB-ATIM RECORD OF THE PROCEEDING IS N{,A,DE WHICH RECORD INCLI]DES I}IE TESTIMONY AND EVIDENCE
UPON WHICH THE APPEAL IS TO BE BASED,
LOBBYIST REGISTRATION IS REQIJIRED, PRIOR TO ENGAGNG IN AN1'LOBBYING ACTIVITIES, WHETHER OR NOT
COMPENSATION IS PAID OR RECEIVED IN CONNECTION \[TTH IHOSE ACTIVITIES, EACH LOBBI'IST SFIALL FILE WITH THE
CITY CLERK AN ANNTIAL REGISIR{TION ST.4,TEMENT AND PAY AN ANNUAI T1,!'O HTJNDRED FIFTY DOLLARS ($2JO,OO)
REGISTRATION FEE FOR EACH PRNCIPAL OR EMPLOYER- REGISTRATION FORMS ARE AV{LABLE ON THE CITY WEBSITE:
\!1\'1,'.DANIABEACHTL.GOV. (ORDINANCE #2012-019; AMENDED BY ORDINANCE #2019{19)
Y:\Cit] Clerk\Documents\Ciry Commission llleetings\Pt]BllC SPL\KING FORM i002).doc
ADDRESS:0
(
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEA(H
SEA IT LIVE IT I-OYE IT
The City is required by state law to keep minutes of City Commission meetings. To properly identiff
persons who address the City Commission in those minutes, the City requests that this form be completed
and provided to the City Clerk, before the meeting begins.
DATE OF COMMISSION MEETING 20 2,L
(L-r-sPRINT NAME
ADDRESS:36 /t
PHONE NO. (optional):-s4J1 EMAIL ADDRTSS t?tAr(.Cor<
PLEASE CHECK ONE OR BOTH OF THE BOXES BELOW:
l) ij _CITIZEN COMMENTS:
Comments by Dania Beach citizens or interested parties that are not part of the regular printed ageoda may be made during each
Commission me€ting duing the period set aside for "Citizen CoErnents." A thirty (30) minute "Citizen Comments" period shall
be designated on the agenda for citizens ald interest€d persoN to speak on matters trot scheduled on tiat day's ageDda Each
speaker shall bc limited to 3 minutcs for his or her comments. P€Isotrs desiring to speak during the citizen comment period shall
inform th6 City Clerk immediarcly prior to the begiming of the meeting of their intention to speak. If more than l0 speakem
express a desire to speak, the Commission shall determine on a meeting by meeting basis whether ro (a) exrend the time allotted
for citizen commenis to accommodale all speakers, or (b) whether to limir the number of speakers or amormt of time per speaker.
A speaker's timc shall not bc tansferable to anothcr speaker.
lsntn 6ei(€,tt T ;Iu)
PLEASE BRIEFLY DESCRIBE TIM SUB T MATTER OF YOUR COMMENT:
))PT,tsLIC T{EARINGS . ITEM #(AS PRINTED ON AGENDA)///
PLEASE NOTE: II 1OU wtSH TO SPEAK ON AN ITEM THAT PERTAINS TO A "ZONING" T1?E OF MAT'IER (FOR E)CAMPLE. A
SITE PLAN, VARIANCE. SPECIAL SXCEPTION OR SIMILAR T1?E OF ITEM KNOWN AS A 'QUASI-JUDICLA.L'' MATTE& YOU
ARE SUBJECT TO BEING ASKED TO SWEAR OR A.FFIRM T}IAT YOU WILL BE TRUTTIFUL AS TO YOUR COMMENTS OR
TESTINIONY. YOU MAY ALSO BE SUBJECT TO QUESTIONS ASKED OF YOU BY AN APPLICANT OR AN APPLICANT'S
REPRESENTATT1G OR AT-TORNEY !!'IIICH RELATE TO TI{E ITEtd.
ANY PERSON WHO DECTDES TO APPEAL .AJ.I}' DECISION MADE W]TH REGARD TO ANY MATTER CONSIDERED AT THIS
NIEETING OR HEARING WILL NEED A RECORD OF THE PROCEEDING, AND FOR SUCH PURPOSE lt4A.Y NEED TO ENSIJRE
T}LA.T A VERBATIM RECORD OF THE PROCEEDING IS I\,[ADE WHICH RECORD INCLIJDES THE TESTMONY AND EVIDENCE
UPON WHICH IHE APPEAL IS TO BE BASED-
LOBBYIST REGISTRATION IS REQUIRED. PRIOR TO ENGAGING IN ANY LOBBYINC ACTNTIES, WHETIIER OR NOT
COMPENSATION tS PAID OR RECEI\ED IN CONNECTION WTIH IHOSE ACTIVITIES, EACH LOBBYIST STTALL FILE WITH THE
CITY CLERK AN ANNTIAL REGISTRA.TION STAIEMENT AND PAY AN .A}NUAI TWO HTNDRED FIFTY DOLLARS ($25O.OO)
REGISTRATION FEE FOR EACH PRINCIPAI OR EMPLO\GR, REGISTRATION FORMS ARE AVAILABLE ON TTIE CITY 1I'EBSITE:
UWW.DANIABEACHr L.mV. (OIIDIN.ANCE d2012{19; AMENDED BY ORDINANCE #2019{19)
Y:\Cilv Clerk\DocumeDts\City Commission N{eetings\PUBLIC SPEAKING FORlvl (002).doc
3-/o
I
COrnrni SS
DAN tA BEACH
QUEST RESS
REG OR SPECIAL
MENTAGENCY
TINGS
C BEACH
CO
COIIMUNIIY REOEVELOPMENI AGENCY
The community Redevelopment Agency (cRA) is required by state law to keep minutes of cRA
Board meetings. To properly identi! persons who address the CRA in those minutes, the CRA
requests that this form be completed and provided to the cRA Secretary, before the meeting
beghs.
DATE OF CRA BOARD MEETING:,20 gG
PRINTNAME:E-V tc,hr ,J*JScn
ADDRESS:2?\o Cr;$,ri Rl . hrf 1n6)or,l"lp, l=L ) gt,tZ tun f/7
PHONENO. (optional):
PLEASE NE OR BOTH OF THE ITEMS BELOW:
1)CITIZEN COMMENTS:
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT:
Comments by Dania Beach citizens or interested parties thal are not part ofthe regular printed agenda may be made
during each CRA Board meeting during the period set aside for "Citizen Comments." Each speaker shall b€ limited
to 3 minutes for his or her comments. Persons desiring to speak during the citizen comment period shall infonn the
CRA Secretary immediately prior to the beginning ofthe meeting oftheir intention to speak.
2)
-
AGENDA ITEM #-. (AS PRINTED ON AGENDA)
AI.IY PERSON WHO DECIDES TO A}PEAI AI'IY DECISION MADE WITH REGARD TO ANY MATTER CONSIDERED
AT THIS MEETING OR HEAPJNG WILL NEED A RECORD OF THE PROCEEDING, AND FOR SUCH PLIRPOSE MAY
NEED TO ENSURE THAT A VERBATIM RECORD OF TIIE PROCEEDING IS MADE WHICH RECORD INCLUDES
T}IE TESTMONY AND EVIDENCE UPON WHICH TI{E APPEAI IS TO BE BASED,
LOBBYIST REGISTRATION IS REQUIRED. PRIOR TO ENGACING IN ANY LOBBYINC ACTIVITIES. WHET}IER OR
NOT COMPENSATION IS PAID OR RECETVED IN CONNECTION WTTH THOSE ACTIVITIES, EACH LOBBYIST
SHALL FILE WITH T1IE CITY CLERK AN ANNUAI RXGISTRATION STATEMENT AND PAY AN ANNUAL TWO
HI,}.IDRED FIFTY DOLLARS ($25O.OO) REGISTRATION FEE FOR EACH PRINCIPAI OR EMPLOYER.
REGISTRATION FORMS ARE AVAILABLE ON THE CITY WEBSITE: WWW.DANIABEACHFL.COV. (ORDINANCE
#2012-019; AMENDED BY ORDINANCE #2019-019)
c Y\+r)
to
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UEST TO S
C
COMMUNI
BEACH
EV NT AGENCY
REG TINGSDANIA BEACH
COMMUI,IITY REOEVELOPMEI{T AGENCY
The Community Redevelopment Agency (CRA) is required by state law to keep minutes of CRA
Board meetings. To properly identifr persons who address the CRA in those minutes, the CRA
requests that this forrn be completed and provided to the CRA Secretary, before the meeting
begins.
DATE OF CRA BOARD MEETNG:7 /o 20Q-Q
PRNTNAME:
1 ,1,ADDRESS C)
PLEASE CIIECK ONE OR BOTII OF TIIE ITEMS BELOW:
l)CITIZEN COMMENTS:
Comments by Dania Beach citizens or hterested parties that are not part ofthe regular printed agenda may be made
during each CRA Board meeting during the period set aside for "Citizen Comments." Each speaker shall be limited
to 3 minutes for his or her comments. Persons desiring to speak during the citizen comment period shall inform the
CRA Secretary immediately prior to the beginning ofthe meeting oftheir intention to speak.
PLEASE RIEFL DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT:
(>
2)AGENDA ITEM #(AS PRINTED ON AGENDA)
AI.IY PERSON WHO DECIDES TO APPEAL A},IY DECISION MADE WITH RTGARD TO ANY MATTER CONSIDERED
AT THIS MEETING OR MARING WILL NEED A RECORD OF THE PROCEEDING, AND FOR SUCH PURPOSE MAY
NEED TO ENSURE TI{AT A VERBATM RECORD OF TTM PROCEEDING IS MADE WHICH RECORD INCLIIDES
THE TESTIMONY AND EVTDENCE I,?ON WHICH THE APPEAL IS TO BE BASED.
LOBBYIST REGISTRATION IS REQUIRED. PRIOR TO ENGACING IN ANY LOBBYING ACTT!'ITIES. WHETHER OR
NOT COMPENSATION IS PAID OR RECETVED IN CONNECT]ON WITH IHOSE ACTIVITIES, EACH LOBBYIST
S}IALL FILE WITH THE CITY CLERK AN ANNUAI REGISTRATION STATEMENT AND PAY AN ANNUAI TWO
HIJNDRED FtrTY DOLLARS ($25O.OO) REGISTRATION FEE FOR EACH PRINCIPAL OR EMPLOYER.
REGISTRATION FORMS ARE AVAILABLE ON THE CITY WEBSITE: WWW.DANIABEACHFL.GOV. (ORDINANCE
#2012-019; AMENDED BY ORDINANCE #2019-019)
OR SPECIAL
PHONE NO. (optional):
U Ccrnrv-l rssul
UEST TO RESS
C BEACH
DANTA BEACH COMMUNITY E NT AGENCY
COMMUNITY REOEVELOPMEI{T AGENCY REG OR SPECIAL TINGS
The community Redevelopment Agency (cRA) is required by state law to keep minutes of cRA
Board meetings. To properly identifr persons who address the CRA in those minutes, the CRA
requests that this forrn be completed and provided to the CRA Secretary, before the meeting
begins.
DATE OF CRA BOARD MEETNG:20
PRINTNAME:
ADDRESS:le-r
PHONE NO. (optional):q'{1,I taAsq'?
PLEASE CHECK ONE OR BOTH OF THE ITEMS BELOW:
B
lrJ
(
1)CITIZEN COMMENTS:
DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT:
Ji
Comments by Dania Beach citizens or interested parties that are not part ofthe regular printed agenda may be made
during each CRA Board meeting during the period set aside for "Citizen Comments." Each sPeaker shall be limited
to 3 minutes for his or ber cornments. Persons desiring to speak during the citizen comment period shall inform the
CRA Secretary immediately prior to the beginning ofthe meeting of tleir intention to sPeak.
PLEASE B
oos
2)AGENDA ITEM #
-
(AS PRINTED ON AGENDA)
A.}IY PERSON WHO DECIDES TO APPEAL ANY DECISION MADE WITH REGARD TO A}IY MATTER CONSIDERED
AT THIS MEETING OR HEARING W]LL NEED A RECORD OF THE PROCEEDING, AND FOR SUCH PURPOSE MAY
NEED TO ENSURE T}IAT A \TERBATIM RECORD OF THE PROCEEDING IS MADE WHICH RECORD TNCLUDES
T}IE TESTIMONY AND EVIDENCE I]PON WHICH TIIE APPEAI IS TO BE BASED.
LOBBYIST REGISTRATION IS PJQUIRED. PRIOR TO ENGAGING IN AI'IY LOBBYING ACTIVITIES. WHETMR OR
NOT COMPENSATION IS PAID OR RECEI\'ED IN CONNECTION WITH THOSE ACTryITIES, EACH LOBBYIST
SHALL FILE WITH THE CITY CLERK AN ANNUAL REGISTRATION STATEMENT AND PAY AN ANNUAI TWO
HUN'DRED FIITY DOLLARS ($25O.OO) REGISTRATION FEE FOR EACH PRINCIPAI OR EMPLOYER.
REGISTRATION FORMS ARE AVAILABLE ON TI{E CITY WEBSITE: WWW.DANIABEACHFL.GOV. (ORDINANCE
#2012-019;AMENDED BY ORDTNANCE #2019-019)
Y
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEA(H
SEATLVETLOVEII
The City is required by state law to keep minutes of City Commission meetings. To properly identi!
persons who address the Ciry Commission in those minutes, the City requests that this form be completed
and provided to the City Clerk, before the meeting begins.
DATE OF COMMISSIO MEETING .20
PRINTNAME:
ADDRESS:
A-
trf
PLEASE CHECK ONE OR BOTH OF THE BOXES BELOW:
1) ij_CITIZENCOMMENTS:
Cornments by Dania Beach citizeDs or interested parties lhat are not part ofthe regular priDted ageflda may be made during each
Commission meeting during the period set aside for "Cirizen Comments." A thirty (30) miltute "Citizen Comments ' period shall
be desigDated on the agenda for citizens and interested p€rsons to speak on matters not scheduled on that day's agenda- Each
speaker shall be limired to 3 minutes for his or her comments, Persons desirirrg to speak during the citizen comment period shall
inform the City Clerk immediately prior to the beginning of the meeting of their intention to speak. If more than l0 speakers
express a desire to speak, the Commission shall determine on a meeting by mceting basis whether to (a) extend the time allotted
for citizen commeflts to accommodate all speakers, or (b) whether to limit the number of speakers or amount of time per speaker.
A speaker's time shall not be transfenble to arother speaker.
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT
2)PLIBLIC HEARINGS _ ITEM #
PLEASE NOTE: lF YOU wtSH TO SPEAI( ON AN ITEM TTIAT PERTAINS TO A 'ZONING" TYPE OF MATTER (FOR EXAMPLE, A
SITE PLAN, VARIANCE, SPECIAL EXCEPTION OR SIMILAR TI?E OF trEM KNOWN AS A "QUASI.JUDICLC.L" MATTE& YOU
ARE SI-IBJECT TO BEING ASK€D TO SWEAR OR AFFIRM T}IAT YOU WILL BE TRUTTIFTJL AS TO YOI.,IR COMMENIS OR
IESTIMONY. YOU MAY AISO BE SUBJECT TO QUESTIONS ASKED OF YOU BY AN APPLICANT OR AN APPLICANT'S
REPRESENTATIVE OR ATTORNEY WIIICH RELATE TO THE ITEM,
ANY PERSON WHO DECIDES TO APPEAL ANY DECISION I{A.DE W'ITH REGARD TO ANY I\4ATTER CONSIDERED AT THIS
MEETING OR HEARINC w1LL NEED A RECORD OF THE PROCEEDING, AND FOR SUCH PIJRPOSE MAY NEED TO ENSURE
TFLA.T A \ERB.A,TIM RECORD OF THE PROCEEDING IS N{.{DE WH]CH RECORD INCLTJDES TIIE TESTIMONY AND E!'IDENCE
UPON WHICH THE .4,PPEAI IS TO BE BASED,
LOBBYIST REGISTR{TION IS REQT,IIRED, PRIOR TO ENGAGINC IN ANY LOBBYING ACTIVTIIES, WHETTIER OR NOT
COMPENSATION IS PAID OR RECEIVED IN CONNECTION WTIH THOSE ACTIVITIES, EACH LOBBYIST SHALL FILE WITH THE
CITY CLERK AN ANNTIAL REGISTR{IION STATEMENT AND PAY AN ANNIJAL TII'O HUNDRED FIFTY DOLLAXS ($25O,OO)
REGISTRATION FEE FOR EACH PRINCIPAL OR EMPLOYER, REGISTRATION FORMS ARE AVAILABLE ON IHE CITY $'EBSITE:
1\'\ ilt.DANL{BEACII.FL.GOV. (ORDIN.ANCE #20I2419: AMENDED BY ORDINANCE #2019{I9
Y:\Citv Clerk\Documents\Citv Coftnission Moerings\PUBLIC SPEAKJNG FORM t002).doc
pHoNE N o. toptionayQ 9 (32 ilLls\raal- monrs r|n O', *U f I a u {:^:,2;'\-,fd-l
(AS PRINTED ON AGENDA)Y-