HomeMy WebLinkAboutCitizens CommentsREQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEA(H
SfA Ii LIYE IT LOYE II
The City is required by state law to keep minutes of City Comrnission meetings. To properly identifii
persons w.ho 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:/3 20
PRINTNAME:
ADDRESS:3 L^
I'-FiONE NO. (optional):
I'I,E.A.SE CIiECK ONE OR BOTII OF THE BOXES BELOW:
t)CITIZEN COMMENTS:
Cornmenls by Daria Beach citizens or intcresred parties thal arE not pan ofthe regular printed agenda Eay be made during each
Cornnission meeting during ilre p€riod sel aside for "Citizcn Colr,'nents." A 6irty (30) minute *Citizet Comments" period shall
be designated on thc agenda for citizens and irterested persons to speak on matters not scheduled on rhat day's agenda. E8ch
speakq shall be limited to 3 nlin'Jtes for his or her comments. Persons desiring to speak dudng the citizer comment period shall
inform the City Clerli immodiat€ly prior to the bcginning of the meetiDg of [reir intention to spe.li. if more than lC speakers
e\pr€ss a desire & spealq the Comnission shall determine on a meeting by meeting basis whether ro (a) cxtend thb tirDe allotted
fo. citizcn commerts tc accommodate Ell speakers! or (b) whether to limit ths number ofspeakers or smount of time p€r speaker.
A s?eaker's time shail not be tralsferable to aoother speakcr.
PLEASE BR.IEFLY DESCR]BE THE SUBJECT L4AT'TER OF YOUR COMMENT:
!{ +rt e-(-{LTN $N r0 a-q-CN ls-
r4 A \.)AeTSIrr
a
PUBLIC HEARINGS _ ITEM #(AS PRINTED ON AGENDA)
PLEASE NOTE: IF YOU WISH TO SPEAK ON AN ITEM THAT PERTAINS TO A'ZONING" Tl?E OF iv{ATTER (FOR EXAI{PLE. l.
SITE PLAN, VARIANCE" SPECIAL EXCEPTION OR SIMILAR T'}?E OF ITEM KNOWN AS A "QUASI.JUDICIAL" MATTER. YOU
ARE SUBJECT TO BEING ASKfD TO SWEAR OR AFFIW THAT YOU W1LL BE TRUIHFUL AS TO YOUR COMMENTS OR
TESTIMON\'. YOU MAY ALSO BE SUB'IECT TO QUESTIONS ASKED OF YOU BY Ali APPLICANT OR AN APFLICA]{T S
REPRESENTATIVE OR ATTORi.iEY WHICH RELATE TO THE ITEM-
ANY PERSON WHO DECIDES TO APPEAL .A.NY DECISION MADE WTTH REGARD TO ANY MATTER CONSIDERED AT THIS
MEETING OR HEARING wlLL NEED A RECORD OF THE PROCEEDING, AND FOR SUCH PURPOSE MAY NEED TO ENSURE
THAT A VERBATIM RECORD OF THE PROCEEDING IS MADE WH]CI] RECORD INCLUDES THE TESTIMONY AND EVIDENCE
UPON WHICH THE APPEAL IS TO BE BASED.
LOBBYIST REGISTRATION IS REQUIRED. PRJOR TO ENCAGING tN ANY LOBBYING ACIIVITIES, WHET}IER OR NOT
COMPENSATION IS PAID OR RECEIVED IN CONNECTION WITH THOSE AC]]VITIES, EACH LOBBYIST SHAI-L FILE WITH THE
ciTY CLERK .AN ANNUAJ- REGISTRATION STATEMENT AND pAY AN ANNUAL TWO HUNDRED FIFry DOLLARS (3250.00)
REGIS'IRATION I-TEE FOR EA.CH PRINCIPAI OR EMPLOYER. RECISI'RATION FORMS ARE AVAILABLE ON THE CITY Vr'EBSITE:
www.DANIABEACHFL.COv. (OF-DNANCE#2012-019; AMENDED By ORDINANCE #2019{19
\\FSl\Clcdi\Ci[' Ccmmission Meetiigs\Agcnda\PuBllc SPEAKIN-C FORM.doc
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DAN|A BEA(H
SEA Ii LIVE II LOVE IT
DATE OF COMMISSION MEETING
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
20ZJ2
]}e City is required by state law to keep minutes of city cornmission meetings. To properiy identifu
persons who address the City Commission in those minutes, the City requests that this fomr G conpletei
ard pru-r,ided to the City Clerk, before the meeting begins.
PRINTNAME:
ADDRESS:
,/-
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lt c
Sur? Cooz Cr ac l?
i'HOh'E NO. (optional):9b3 ZqK bszl,
PLE,A.SE C}T
PL
1!L_i
R BOTII OF TEf BOXES BELOW:
I) L CITIZENCoMMENTS:
Commenls b)' Dania Beach citizens or iotcrested parties that arc not part ofthc regular printed agenda may be made during each
Commission mcetiDg during the pe od set aside for 'Citizen Corn$erts." A thifty (30) rninute titizen Comments. pe.iod shall
bc design8tod on the agenda for citize$ and interested persons to spe.k on maners oot schcduled on that day,s agind& Flch
spesker shall be limited to 3 nlinutes for his or her comments. Penons desiring ro speali during the citizen com,r,eoiprio6 shall
inform the_ City Clerk immediately prior to the begir,ilg of the meeting of their iirtention r speak. If morc th* iC "p""k".,c\pr6ss a dosire to spealq the Commission shall dotrrmine on a meeting by meeting basis whether ro (a) extend thb time allotred
for citizen cornments tc accommodste all speakcq or (b) wh€ther to limit the number of speakers or arnount of time per speaker.y', speaker's time shall not be tralsfe.able to anothcr speaker.
4o.""*E SUBJECT I\,IATTER OF YOUR CO
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14 OE <r
Or.A 1.,
PUBLIC htsARINGS - rTEM #-_ (AS PRINTED ON AGENDA)
PLEASE NOTE] IF YOU WISH TO SPEAK ON AN ITEM THAT PERTAINS TO A'ZONING" T'I?E OF MATIEF, (FOR EXAN,IPLE. A
SITE PL,AN. VARIANCE. SPECIAL EXCEPTION OR SIMILAR TYPE OF ITEM KNOWN AS A 'QUASI.JUDICIAI" MAT1ER. YCU
ARE SUBJECT TO BENC ASKED TO SWEAR OR AIFIRM T1{AT YOU WTLL BE TRUTHfUL AS TO YOUR COMMENTS OR
TESTIMONY. YOU MAY AI-SO BE SUBJECT TO QUESTIONS ASKXD OF YOU BY AN APPLICANT OR AN APPLICANT S
REPR.ESENTATIVE OR ATTORJ.]EY WHICH RELATE TO THE ITEM
ANY PERSON WHO DECIDES TO APPEAL ANY DECISION MADE WITH RECARD TO ANY MATTER CONSIDERED AT THIS
MEETTNG OR HEARING WILL NEED A RECORD OF THE PROCEEDINC, AND FOR SUCH PURPOSE MAY NEED TO ENSURE
T}IAT A VERBATTM RECORD OF THE PROCEEDING IS MADE WHICH RECORD INCLIJDES THE TESTIMONY AND EVIDENCEUft)N WHICH THE APPEAL IS TO BE BASED,
LOBBYIST RECISTRATION IS REQUIRED,
COMPENSAIION IS PAID OR RECEIVED IN
PRIOR TO ENGAGNG IN ANY LOBBYINC ACTIVITIES, WHETHER OR NOT
CONNECTION WITI{ THOSE ACTIVITIES, EACH LOBBYIST SHAIL FILE WITH THE
CITY CLERI( .AN ANNLI}.L REGISTRATION STATEMENT AND PAY AN ANNUAL TWO HUNDRED FIITY DOLLARS ($25O.O())
REGISTRATION lEE FOR E.ACFi PfuNCIPAL OR EMPLOYER. REGISTRATION FORMS ARE AVAILABLE ON TI.IE CITY WEBSITE:
WWW.DANTABEACHFL,GOV. (OFDTNANCE #2012{19 : AMENDED BY ORDINANCE *2019-019)
\\FS l\Cle*\Cit1' Conmissior Meetings\Agenda\PuBLlc SPEAKINo FORM.doc
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REQUEST TO ADDRESS
CiTY COMMISSION AT REGULAR
OR SPECTAL MEETINGS
\1Zu/a Eza 3/azzt
FtiONE NO. (optional): _
PLEASE CTiECK ItIE
t{4,'k Z.,,2-az'>qr
OF THE BOXES BELOW:
ij
Comments by Dania Beach citizens or interest€d parties that arc not part ofthe regula, printed agenda may be made during each
Comnrission meeting durinE th. period set aside lbr "Citizen Conments." A thirty (30) minute ,titizen Comments" peiiod shall
be designatod on the agenda lbr citizens and interested persons to speak on matters not scheduled on that day's aginda- Each
speaker shall be litnited to 3 min'Jtes for his or her comments. Percons desidng to speak during thc citizen comrnenipriod shallinforn the Ciq'Clerk inlmediately ptio. to the beginnirlg ofthe meeting oftheir iltection to speal.i. If more than iC rp"u.k"r.
express a desire to spealq the Commission shall determine on a rneeting by meetin-q basis whether to (a) extend thb time allottedfoi citizen cornnents tc accommodate all speakers, or (b) whether to limit r}e number ofspeakers or amount of time per speaiier.
A speal<er's ttre shall not be tra.sferable to another speaker.
PLEASE BRiEFLY DESCRIBE THE SUBJECT L,TATTER OF YOUR COMMENT:
l"l-.1 pusus mARINGS - ITEM #_ (AS rRTNTED oN AGENDA)
siTE PLAN, VARIANCE. SPECIAL EXCEPTION OR SIMTLAR TypE OF ITEM KNOWN AS A -QUASI-JUDICIAL" MAT.I ER, yOU
ARE SUBJECT TO BEING ASKED TO SWEAR OR A.FF]RM THAT YOU WILL BE TRUIHFUL AS TO YOUR COMMENTS OF.
TESTiMON\" YOU MAY ALSO BE SUBJECT TO QUESIICNS ASKED OF YOU BY AN APPLICI.NI OR AN APPLiC,A}{T S
REPRESENTATI'vE OR AT'fORl\iEY WHICH RELATE TO THE rTEM.
PI"EASE NOTE: rF 'YOU WISH TC SPEAI( ON .AN ITEM TII,AT PERTAINS TO A'ZONING" T\?E OF MATTER (FOR EXAN{Pi-E. A
ANY PERSON WHO DECIDE .S TO APPEAL ,{NY DECISICN MADE WITH REGARD TO ANY MATTER CONSIDERED AT THIS
MEETINC OR HEARING W]LL NEED A RECORD OF THE PROCEEDING, AND FOR SUCH PURPOSE MAY NEED TO ENSURE
THAT A VERBATIM RECORD OF THE PROCEEDING IS MADE WHICI.I RECORD INCLUDES THE TESTIMONY AND EVIDENCE
U?ON WHICH THE APPEAL IS TO BE BASED.
LOBtsYIST REGISTRATION IS REQUiRED, PRIOR TO ENGAGING IN ANY LOBBYING ACTIVJTIES. WHETHER OR NOT
COMPENSATION iS PAID OR F.ECEIVED IN CONNECTION wlTII THOSE ACTIVITIES. EACiI LOBB'T'IST SHALL FILE WITH THE
CITY CLERK AN ANNUr'.L REGISTRATION STATEMENT AND PAY AN ANNUAL TWO HL,NDRED FIFTY DOLLARS ($25O,Cr))
RI]GISTRATION I.EE FOR EACH PRINCIPAL OR EMPLOYER, REGISI'RATION FORMS ARE I.VAILABLE ON THE CITY Vr'EBSITE:
WWW.DANIABEACIi!L.COV. (CRDINANCE #2012-019: AMENDED By ORDINANCE #20i9{19
\\FS1\Cielk\Cky Ce.rlmissior Meetirgs\Agenda\PLIBLIC SPEAKI\jC FORM.doc
DANIA BEA(H
5EA TL LIVE tT. LOVE lT.
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 mi utes, the City requests that this fo1111 be complete.d
aod provided to the City Clerk, before the meeting begins.
DArE OF coMMrSSroN MEETTNG: //la .20 2.f
PRlNl'NA.ME:
ADDR!SS:
CIT]ZEN COMMENTS:
DANIA BEACH
sEA Ii LIVE II LOVE IT
DATE OF COMMISSI MEETING:
PRINTNAME:
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
t/
The City is required by state law to keep minutes of City Commission meetings. To properly identify
persons who address the City Commission in tiose minutes, the City requests that this form
-be
completed
and provided to the City Clerk, before the meeting begins.
SIADDRESS:
PLE.4.SE CHE oItlE OR BOTH OF TFIE BO)GS BELOW:
I'HOh'E NO. (optional): _
i)= _ctTTzENCoMMENTS:
Commeflts b)' Dania Beach citizens or interested pafties thai are not part ofthe regular prhted agenda may be made during each
Commission mecting during the pe od set aside fol "Citizen Comments." A thirty (30) minute titizcn Comments,, period shal)
be designatcd on the agenda for ciiizens and interested persons to speak on matters not scheduled on that day's aginda. Each
speaker shall be limited to 3 nlinutes for his or her comments. Penoos dcsiring to spea!. during the citizEn commeni perioC shallitforrn the City Clerk immediately pfior to the beginliDg of the mceting of their intention tispeak. lf more than iC speakers
eripress a desire to speal,, the Commission shall determine oo a mceting by meeting basis whetho to (a) extend thb time allotted
for citizen comne[ts lc accommodate all speakers, or (b) whetter to limit the number ofspeakers or arnount of time per speaker.
A, speaker's time shall not be transferable to another s?eaker-
PLEASE BPJEFLY DESCRIB- /rrH/r,*l ETHES CT I,iATTER OF YOURCOMMENT:
dz-
73tu
')\ n PUBLIC hEARINGS -ITEM #(AS PRINTED ON AGENDA)
PI-EASE NOTE: IF YOU WISH TO SPEAK ON AN ITEM THAI PERTAINS TO A 'ZONING' TYPE OF MATTER (FOR EXAMPLE, A
SITE PLAN, VARIANCE. SPECIAL EXCEPTION OR SIMILAR TYPE OF ITEM KNOWN AS A *QUASI-JUDICIAL'' MATTER. YOU
AITE SUBJECT TO BEING AS(ED TO SWEAR OR ATF]RM TT T YOU WILL BE TRUIHFUL AS TO YOUR CO]VIMENTS OB.TESTIMONY. YOU MAY ALSO B E SUBJECT TO QUESTIONS ASKED OF YOU BY AN APPLICANT OR AN APPLICANT S
REPRESENTATIVE OR ATTOR}{EY WHICII RELA TE TO THE ]TFM
ANY PERSON WHO DECIDES TO APPEAL ANY DECISION N{{DE WITH REGARD TO ANy Ir^rrTTER CONSIDERED AT THIS
MEETING OR HEARING \,{ILL NEED A RECORD OF THE PROCEEDNG, AND FOR SUCH PURPOSE MAY NEED TO ENSURE
TIIAT A VERBATIM RECoRD oF THE PROCEEDTNG Is MADE wHIcH REcoRD INCLUDES THE TEsTtMoNy AND EVTDENCE
UJ,oN WHICH THE APPEAL IS TO BE BASED,
LOBBYIST REGISTRATION
COMPENSA TION IS PAID OR
IS REQUIRED- IRIOR TO ENGAGINO IN -ANY LOBBYING ACTIV]TIES, WHEIHER OR NOT
F.ECEIVED IN CONNECTION WTIH THOSE ACTIVITIES. EACH LOBBYIST SHALL FILE WITH THE
CITY CLER}i AN ANNLI/,L REGISTRATION STATEMENT ANT] PAY AN ANNUAL TWO HTJ}.IDRED FIFTY DOLLARS ($25O,OO)
REGISTRATION IJEE FOR EACH PRINCIPAL OR EMPLOYIR, REGISTRATION FORMS ARE AVAILABLE ON THE CITY WEBSITE:
WWW.DANIABEACHITL.OOV. (ORDNANCE i2012-019: AMENDED BY ORDINANCE#2019{l
\\FSl\Clcrti\Ciq, Commission Mcetrngs\Agcnda\PuBLlc SPEAKbIC FORM_doc
9)
206
"rt6
REQUEST T'O ADDRESS
CITY COMMTSSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEACH
s€t tT. LrvE fT LoYE ll
The City is required by state law to keep minutes of City Comrnission meetings. To properly identifi
peisons who address the City Commission in those minutes, the City requests that this form be contplete<i
and provided to the City Clerk, before the meeting begins.
DA,TI OF COMMISSION MEETING.-1. r I
pnrNrNAME: )o*lltAh
JilA t7-fiil6-at ty
ADDRiSS:f)o (tr
l--i-i0t;E NO. (optionai):
FI-EASE CI{ECIi: ONE OR BOTT{ OF THE BO)IES BELOW:
,.l) i.-i l/ ctf,tzENCoMMENTS:
Conunents tr1' Dllania Beach tirizens oi interested parties that are not part ofthe regular printed agenda ma4 be made during each
Commissio. meetirg duiDg *€ period set aside for "Citizen Comments." A thirty (30) minute "Citizen Commeots" peiiod shall
b€ designat€d on the agenda fbr ciiizens and i[tercsted persoN to speak on matters not scheduled on.that day's ageoda. Each
speaker shall be limited to 3 nlinutes for his or her comnlerts. Persons dssti[g to speak during the citizen comment period shall
inform the City Clerk imlnediately ptio. to..he beginning ofthe meeting oftheir htention to speali. lf more thafl l0 speakerc
express a desire to speal', the Commission shall determine orl a meeting by meeting basis whether to (a) ext€nd thb dme allotted
for citizen coriments tc accommodate ail speakerq or (b) rvhether to limit the number of speakers or amount of time per speaku'r.
A sp..aker's time shall not be tratrsferable to another speaker.
PLEASE BRIEFLY DESCR]BE THE SUBJECT N,iAT'TER YOURCOMMENT:
I{ILK
2) ll pueLrc hr,ARrNGS -rrEM #_(AS rRTNTED oN AGE]'IDA)
PLEASE NOTE: Ir YOU WISH TO SPEAK ON .AN ITEM THAT PERTAINS TO A'ZONING' T\?E OF MATIEP, (FOR EXAN{PLE A
SITE PL,AN, VARIANCE. SPECIAL EXCEPTION OR SMILAR TYPE OF ITEM KNOWN AS A "QUASI.JUDICiAL'' MATTER- YCU
AI{E SUBJECT TO BEINC ASKED TO SWEAR OR AIFIRM TrlAT YOU WILL BE TRT]IHFUL AS TO YOUR COMMENTS OR
TESTIMONI', YOU I{AY ALSO BE SUBJECT TO QUESTIONS ASKED OF YOU BY AN APPL1CANT OR AN APFLiCAI.]T J
REPRESENTATiVE OR ATTOfuIEY WHICH RELATE TO THE ITEM.
ANY PERSON WHO DECIDES TO APPEAL ,4.NY DECIS]ON MADE WITH REGARD TO ANY MATTER CONSIDERED AT THIS
MEETING OR HEARING WILL NEED A RECORD OF THE PROCEEDING, AND FOR SUCH PURPOSE MAY NEED TO ENSURE
T}IAT A VERBATIM RECORD OF THE PROCEEDING IS MADE WHICH RECORD INCLUDES THE TESTIMO}IY AND EVIDENCE
UPON WHIC|I THE APPEAL IS TO BE BASED,
LOBBYIST RECISTRATION IS REQUIRED, PzuOR TO ENGAGING IN .ANY LOBBYING ACTiV]TIES, WHETHER OR NOT
COMPENSATION iS PA]D OR F.ECEIVED IN CONNECTION W;TII THOSE ACTIVITIES, EACH LOBBY'IST SHALL FILE WITH T}IE
CITY C]-ERT( AN ANNL].Ai REGISTR,A.T'ION STATEMENI AND PAY AN ANNUAL TWO HTJI'IDRED FIFTY DOI-LARS ($25O,Cr])
REGI.STRATION !'EE FOR EAC}i PzuNCIPAI OR EMPLOYER, RI,CISTRATION FORMS ARE AVAILABLE ON THE CITY WESSITE:
Www.DANIABEACTiFL.GOV. (ORDINANCE #2012-019: AMENDED BY ORDINANCE #2019-019)
\\FS1\Ciedi\Ciq Ccmmission Meetings\Agenda\PuBLlc SPEAKINC FORM.doc
\
The city 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 th;t this foml
-be
compietei
and provided to the City Clerk, before the meeting begins.
DANIA BEA(H
sEA Ii. LIYE TL LOYE lT
DATI] OF COMMISSION MEETING
PRINI'NAME:
ADDR.ESS:
|HONE NO. (optional):
PI,EASE
REQUEST TO ADDRESS
CITY COMMISSION AT REGT]LAR
OR SPECTAL MEETINGS
20
UrlJ
OF THE BOXES BELOW:
1)CITIZEN COMMENTS:
Comments by Dania Beach citizens o. ioterested parties that ar€ not pan ofthe regular printed agenda may be made during each
Commission meeting during the period set asice for "Citizen Comments." A thkty (30) minute titizeq Comments- pe od shall
be desiSnatod on the agenda for citizcns. and irt€rcsted persons to speak on mafters not scheduled on that day's aginda" Each
speskcr shall be linited to 3 nlinut€s for his or her comments. Pcrsons desiring to speak during the citizfi commeniperio6 shall
inibrm the- CiO Clerk iomediately prior to lhe beginiiing of the meeting of their intention tolpeali. If more than i0 speakers
express a dcsire !o speali the Commissiofl shall dctermine on a meeting by meeting basis whcth;r to (a) extend thb time allottedfor citizcn cornmc[ts tc accomrnodate all speaks6, or O) whether to limit the nunber ofspeakers or amount of time per spealier.A speaker'! time shall flot be tansferablc to another speaker.
PLEASE BR.IEFLY DESCRIBE THE SUBJECT T,IATTER OF YOUR COMMENT:
,',r pueI-rc HEARINGS - ITEM #(AS PRINTED ON AGENDA)
P1-EASE NOTE: IF w.OU WISH TO SPEAK ON AN ITEM TFAT pER AINS TO A *ZONING" T\?E OF MATTER (FOR EXAI\,{PLE. ,^,
SITE PLAN, VARIANCE.SPECIAL EXCEPTION OR SIMILAR TYPE OF ITEM KNOWN AS A 'QUASI.JUDICIAI" MATTER. YCUARE SUBJECT TO BEN G ASKED TO SWE AR OR ATFIRM TTLAT YOU W'ILL BE TRIIIHFUL AS TO YOUR COTVIMENTS ORTESTIMONY. YOU MAY AISO BE SUBJECT TO QUESTIONS ASKED OF YOU BY AN APPLiCANT OR AN APPLICAI.IT SREPR,ESENTAiIVE OR ATTOfu.IEY WI,IICH RELATE TO THE ITEM
ANY PERSON WHO DECIDES TO APPEAL ,A,NY
MEETINC OR HEARINC WILL NEED A RECORD
DECISION MADE WITII RTGARD TO ANY MATTER CONSTDERED AT THIS
OF THE PROCEEDING, AND FOR SUCH PURPOSE MAY NEED TO ENSURE
T].IAT A VEREATIM RECORD OF THE PROCEEDING IS MADE WHICI.I RECORD INCLUDES TH.E TESTIMO}.IY AND EVIDENCE
UR)N WHICH THE APPEAL IS TO BE BASED,
LOBBYIST RECISTRATION IS REQUIRED,
COMPENSATION IS PAID OR RECEIVED IN
PRIOR TO ENG AGING IN ANY LOBBYTNG ACTIVITIES. WHET}IER OR NOT
CONNECTION W]TI{ THOSE ACTIVITIES. EACH LOBBYIST SHAIL FILE WITH TI{E
CITY CLERT( AN AI{NU/dI REGISTRATION STATEMENT ANT) PAY AN ANNUAL TWO IIL'IIDRED FIFIY DOLLARS ($250.00)
REGISTRATION IJEE FOR E.{CH PRINCIPAL OR EMPLOYLR. REGISTRATION FORMS ARE AVA]LABLE ON THE CITY WEBSITE:
wWW.DAMABEACTiFL.6OV. (ORDINANCE #2012{l9: AMENDED BY ORDINANCE #2019{19
\\FSl\Clc*\Cii' Commission Mcetrngs\Agenda\PuBllc SPEAKING FORM.doc
REQUEST TOADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEA(H
SEA II LIYE II LOVE II,
The City is required by state law to keep minutes of City Commission meetings. To properly identifli
persons who address the City Commission in those minutes, the City requests that this fomr be completed
and prcvided to the City Clerk, before the meeting begins.
DATE OF CoMMISSION MEETING: \- l3 2f *
PRINTNAME:f,r"J(* t/o.,r. c
20
ADDRESS: LL6 Uu.r J'l'h..r
['HON'E NO. (optional):
I}I-E-'.SE C}iECE ONE] OR BOTH OF THf, BOXES BELOW:
l) Ll /CTTTZENCoMMENTS;
Coruncnts by Dania Beach citizens or interestcd parties that arc not part ofthc regular printed agenda may be made during each
Commission rnoeting during the pedod set aside for "Citizeir Conrments." A thirty (30) minute "Citizen Comments" poriod shall
be designated on the ageflda for citizens and interested persons to speak on matters not schcduled on that day's agenda. Each
speakcr shall be limited to 3 nlinutes for his or hor comments. Persons dosidng to speali during the citizen commcnt pcriod shall
inform the City Clerli immediately prio! to the beginniDg of the meeting of their htention to speak. lf more than l0 speakers
express a desire to speali. the Commission shall d€termine on a mceting by me€ting basis whether to (a) extend thb time allotted
lol citizen commcrlts tc accommod3ae all speakers, or O) whether to limit thc number of s?€akers or amou[t of time pcr spiaker.
A, Speaker's time shall not be tralsf.rable to another speaker.
PLEASE BRIEFLY DESCR]BE TIIE SUBJECT IVIATTER OF YOUR COMMENT:
I.\ort! [,v€]r< gtc,
{2)PUBLIC TiEARINGS _ ITEM #(AS PRINTED ON AGENDA)
PL EASE NOTE: IF YOU WTSH TO SPEAK ON AN ITEM THAT PERTAINS TO A ZONING" T]?E OF MATIER (FoR EXAIUPLE, ,I.
SII'E PLAN, VARIANCE. SPECIAL EXCEPTION OR SIMILAR TYPE OF ITEM KNOWN AS A *QUASI.JUDICTAL'' i\,'{T'IER. YCU
ARE SUBJECT TO BEINC ASKED TO SWEAR OR AFFIRM THAT YOU W.ILL BE TRTII}IFUL AS TO YOUR COMMENTS OR
TESTIMONY, YOU MAY AISO BE SUBJECT TO QUESTIONS ASKED OF YOU BY AN APPLICANT OR AN APPLICANT S
REPRESENTATIVE OR ATTORNEY WHICH RELATE TO THE ITEM,
ANY PERSON WHO DECIDES TO APPEAL ANY DECISION I\,,'Tq.DE WIIH REGARD TO ANY MATTER CONSIDERED AT THIS
MEE'TINC OR HEARING \14LL NEED A RECORD OF THE PROCEEDING, AND FOR SUCH PURPOSE NTqY NEED TO ENSURE
TT{AT A VERBAIIM RECORD OF THE PROCEEDTNG IS MADE WHICH RECORD INCLTJDES THE TESTIMO}TY AND EVIDENCE
I.IPON WHICH THE APPEAL tS TO BE BASED,
LOBts YIST REGISTRATION IS REQUIRED, PRIOR TO ENCAGING IN ANY LOBBYING ACTIVITIES, WHETHER OR NOT
COMPENSATION IS PAID OR B.ECEIVED IN CONNECTTON WITH THOSE ACTIVITIES. EACH LOBBYIST SHALL FILE WTTH THE
CITY CLERK AN A}{NUAL REGISTRATION STATEMENT A!.{') PAY AN ANNUAL TWO HUNDRED FTFTY DOLLARS ($250-OO)
REGISTRATION l'EE FOR EACH PRINCIPAL OR EMPLOYIR. REGISTRATION IORMS ARE AVAILABLE ON iHE CITY WESSITET
WWW.DANI.{BEACHFL.GOV. (OkDINANCE #2012419: AMENDED BY ORDINANCE #2019{19
\\FSl\Clcdi\Ciq' Commissio! Meet$gs\Agenda\PUBLIC SPEAKINC FORM.doc