HomeMy WebLinkAboutCitizen Comment FormsREQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA tsEACH
5€llT.Im lI. LOVE rr.
The City is required by state law to keep minutes of Ciq' Commission meerings. To properly identi$
persons who address the City Commission in those minutes. the City requests that this fbrm be completed
and pror ided to the Cit) Clerk. befbre the meeting begins
//ODATE OF COMMISSION E1'INC .10
PRINT NAME
C_
ADDRESS:
PHONE NO. (optional f'/.v l.r-f6 4?A.r4
EMAIL ADDRESS
PLEASE CHECK ONE OR BOTH OF THE I}OXES BELO\\:
l) D _cTTtzENCoMMENTS:
Comments by Dada Beach citizens or interesled partics that are not part ofthe regular printe.l agenda ma1 be made during each
Commission meeting during the period set asidc lor "Citizen (lommcnts." A thirB (30)minure "Cirizen Comments" period shall
bc designaled on the agenda for citizens aDd intereslcd persons to speak on matters not schcduled on that da)'s agenda. Each
speakcr shall be limitcd to 3 minutes lor his or her comments. Pecons dcsiring to spcak during the citizen comment pcrt)d shall
inlbrm the City Clerk immediately prior to thc beginning ol thc meeting of th€ir intention to speak. Il' more than l0 spea.licrs
express a desirc to speak. the Commission shall determine on a mccting b) meeting basis whcther (o (a) ext!-nd the time alkxtdl
lbr citiTrn comments to accommodate all speakcrs. or (b) whcther to limit the number of speakcrs or amount of time pcr speakcr.
A speaker's time shall not be t-ansfe.ablc to another speaker.
PLEASE BRIEFLY DESCRIBE TTIE SL]BJECT MATTER OF YOUR COMMENT
l)PLIBLICTIEARIN(iS IIE\,I (AS PRINTED ON AGENDA)
PLEASE NOTE: IF YOT1 WISH TO SPEAK ON AN ITEM TI1AT PERTAINS -I.O A '.ZONIN(|.TYPE OF MATTIR (FoR EXAMPLE. A
SI'IE PI,AN, VARIANCE, SPECIAL EXCEPTION oR SIN,IILAR TYPIJ oF III]M KNO\IN AS A 'QUASI.JUDICIAL" IIIATTE& \'(XJ
ARE SUBJECT TO BEING ASKID TO S\\EAR OR AFFIRNI TTIAI' YOU W1LL BE TRLTTHTIIL AS TO YoUR CONMINTS OR
ltiSTlMONY. YOU tt'l.AY ALSO BE SUBJECT TO QI,ESTONS ASKED oF YOLI BY AN APPLICANT OR.AN ,,\PPI.ICANT'S
RT,PRISF:NTAIIVE OR ATTORNEY \ITIICII RELAIE To TIIIJ ITEM.
ANY PERSON WHO DECIDES'TO APPEAL ANY DECISION ]\{AD[J \ITTTI REGARD To ANY MAI'TER CoNSIDI]RED A't TIIIS
MI:ETING OR HEARING wlLL NEED A RECORD Of THt PR(x--EtiDIN(i- AND IOR strCH PITRP0SE MAY NEtiD TO ENSLTRE
IIIAT A VERBATM RECORD OF TIIE PR(TEEDING lS NiADE \MIlCrH RECORI) INCt.tTDES I'HE l tiSTIN()NY AND EVIDEN(E
TII'ON WHICII TIIE APPEAL IS TO BE BASED,
I-oBB\1ST REGISTRATION IS REQUIRED. PRIOR IO ENCAGINC IN ANY I-OBB\TNG ACTIVTNES, \!'IJETIIER oR NoT
CoMPENSATION IS PAID OR RECEIVED IN CONNEC'IION WI'IH TTIOSE AC'TIVITIES. EACH I,OBtsYIST SHALL FILE WITH TTIE
CIfY CLERK AN ANNUAI REGISTRATION STAIEMhNT AND P.{,Y AN ANNIIAI. TwO HITNDRED I-IFTY DOI.LARS r$250(x))
RI;CISTRATION FEE FOR EACH PRINCIPAL OR EN{PLOIER. REGISTRA,TION FORMS ARE AVIUI-AI]I,E oN '[TIE CITY WEBSII'I-:
u ww.DANIABEACHFL.C,Ov. (ORDINANCE #2012419: ANIFINDED BY ORDINANCE #2019{19)
Y CiN t lcrk,Druments\Citl Commission lueelingsrPl -BLIC SPt:,\KIN(; FOL\I (0tll ).doc
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEACH
SEAIT LIVE IT I.OVE II
The City is required b1'state law to keep minutes of Citr Comnrission nteetings. To properll identili
persons who address the Cif-v.' Commission in those minules. the Citv requests that this lbrm be completed
and provided to the CiB Clerk. belbre the meeting begins.
DATE OF COMMIS MEETING %.20x
PRINT NAME:o
ADDRF-SS J 4 37aa/
PHONE NO. (optional):EIVIAIT- ADDRESS rot4 2^n /e4\
PLEASE CHE('K o NE OR BOTH OF I'HE IX)\f S B[I-OVI:
1) tr _CITIZENCOMMENTS:
Comments b]' Dania Beach citizens or intcrestcd panics thal arc not pan ol the rcgular printld agcnda ma1 be made during cach
Cornmission meeting during the period set aside for "(litizcn Comments." A thin) (10) minute -Citizen Comments" pcrirxl shall
be designated on the agenda lor citizrns and intcrested persons to speak on matters not schedutcd on that rlal's agenda. l.)ach
speaker shall be limited to 3 minutes for his or her commcnts- Persons desiring to speak during fie citizcn commcnt period shall
inlbrm the Ciq Clerk immediately prior to the beginning of tho mecting of thcir intcnrion ro speak. lf morc thirn i{) speakers
express a desire to speak. the Commission :ihall determinc on a meeting b) mecting b&sis ir hethcr to (a) extcnd th!'timc allotted
for citizen comments to accornmodate all spealcrs. or {b) \4hethcr to limit the number ofspcake or amount of time per speaker.
A speaker's time shall not be ransferable to another spealier.
PLEASE BRIEFLY DESCRIBE THE SLIBJECT MATTER OF YOUR COMMENT:
t/<a/
t)I
-
PUBLIC HEARINGS _ ITEM # (AS PRINTED ON AGENDA)
SITE PLi\N, VARIANCE, SPECIAL EXCEPTION OR Slt!flI-AR TYPE OF ITEN, KNO\IN AS r\ "QIrASI-JUDICIAL" MATI ER YOU
ARE SI]BJECT TO BEINO TSKED TO SWEAR OR A-F-FIRM THA'T Y(X-I WILL I]E TRLITHFUL AS I0 YOIJR CoN{MENTS oR
TISTIMONY YOU MAY AfSO BE SUBJLCT .l.O
QUESr()NS ASKLD oti 1'()(i BY AN '\ppLtCANT oR AN ,\ppt_lcANl's
RLPRESINTA.I IVE OR ATTORNEY WHICII RELr\IE TO THE ITEM.
PI.EASL NOTli: IF YOlr WISH 11) SPli.AK ON AN ITEN1 l HAl PliltTAlNS To ,l -lONlNC- I YPE ()t: \{,\TTLR (FOR E\.\Itpt.t,. _{
ANY PERSON WHO DECIDES TO APPEAI, ANY DECISION NTA.DE WITH RLGARD'TO ANY N'AMER CONSIDT]RED ,\T TIIIS
MEI:TING OR HEARING WILL NEED A RECORD OIj Tl{L PR(X'EEDING. ..1ND IOR StJCll PITRPOSE t\tr\Y NEED IO ENSI,RE
trIAT A VERBATTM RECORD OF THL PRoCEEDNG IS IUADE WHICTI RECORD INCI,(JDI]S THIJ TESI'IMoNY AND FVID},NCL
Tr'PON WHICH TIIE APPEAL 1S To B[ BASI]D,
LoBBYIS'I REGISTRATION IS REQ(IIRED. PRIOR TO IJNC.AGIN(i tN ANY LOBB\'INC ACI'IVITIES. U IIETII}:R ()R Nol
CoMPLNSATION IS PAID OR RECEIVED IN C()NNEC'IION WIT}I TH0SL A('IIVI'TIES. EACII LOI]BYIST SHALL FILI \T'IT}I I'HE
CITY CLF.RK AN ANNUAI- REGISIRATION Sl ATE}II.]NT ,\ND PT\Y .{N ANNTIAL I \'\ o IIIINDRED I]IFT\' IX)LI,ARS ($250.M)
RE(iISTRATION fEE FOR LACH PRINCIPAI- OR EMPI,OYLR, RE(;ISTRATIoN FoRMS ARE AVAII,ABt,IJ ON THE CITY WEBSI I E:
\{.W\\'.DANLA.IIEACI IFL.COV. (ORDINANCE #2012{19; AMLNDI,D BY ORI)IN,\NCE #2019{19)
\': t'il\ C'lcrk,l)ocumenls\Cit\ Commission Nlectinpsr Pl rlll lt SPl,.A( lNG l-( )RNI ((10: ) doc
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA tsEACH
s€ltT. UYE r-tcrvE n
The Ci\ is required by state law ro keep minutes of Citl commission meetings. To properll identi$
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: { - Z ,2OZL
PRINT NAME ( '/c-
ADI)RESS:ve Ct&-
PHONE NO. (optional):EMAIT- ADDRESS:
PLEASE CHECK ONf OR BOTH OF THE BOXES I]ELO\\:
r) ,E _ crTrzEN GoMMENTS:
Commentstrv Dania lleach citiTens or inte.esled pfiies that arc not part of the rcgular printal agcnda ma) be made during cach
Commission meeting during the period set aside tbr "Citizen Cornrnenrs." A rhirq (30) minure ''Citizen Commenrs'' period shall
be designated on the agenda for citizens and interested pcrsons to spealr on matters not scheduled on that da!'s agenda. Each
spei*er shall be limited to 3 minutes for his or her comments. Persons desiring to speak during the citizcn commcnt period shall
infom the Citv Clerk immediately prior to thc begiruring of thc meeting of their intention to speek. ll more than i0 speakers
express a desire to speak, lhe Commission shall determine on a meeting b]. meeting basis whether to (a) cxtend the time allotted
for citizen commcnts to accommodate all speakers, or (b) whether to limit the number of spealers or amount of time per spet*er.
A speaker's time shall not bc transferable to another speakcr.
PLEASE BRIEFLY DESCRIBE THE SL]BJECT MATTER OF YOUR COMMt,NT
,4L/d-f Da,nfu'zch Pq-rA"2y' a
PLEASE NOTEj IIJ YOIJ WISH TO SPEAK ON AN ITF:M THAI PERTAINS TO A ..ZONIN(ITYPE OF MAIIIJR (!.OR IiXAMPI.E. A
SITE PLAN, VAII.IANCE, SPECL{L EXCLPTION OR SltvflLAR TYPE OF ITEI\{ KNO\IN AS A -QUASI-Jtrl)lCIAt.- II.{ITER. YOt I
ARE SUBJECT TO BEING ASKED TO SWEAR OR AFFIRM THAT YoL' q'ILL BE TRIITHFIIL AS IO \'oLIR COI{N{EN'TS OR
TESTIMONY YOU MAY AI-SO BE SIJBJEC]' tO QUES'I'IONS ASKED Of YO(I BY .AN APPLICTTN] OR AN APPLICANT'S
RIPRESENTATIVE OR ATTORNEY WHICH RELATE TO T}IE TtENt-
ANY PERSON WHO DECTDES TO APPEAL ANY DECISIoN N,IADE WITH REGARD To ANY Li,ATTER C'ONSIDERED A'I THIS
MEE'TINC OR HEARINC \I'II-L NT-ED A RECoRD OF THL PROC EEDINC. AND t.OR SIJCH PURPOSE I\'A\'NIJF,D tO ENSURI:
TT1A I A VF]RBAI'IM RE:CORD OF ]'IIE PROC'EEDING IS MADE WHICH RICoRD NCLIJDES I]IE TES'I]MoNY AND I:VIDIJNCI]
UI'ON \r1ICH TTIE APPEAL IS TO BE BASED,
l)L_--i PUBLIC HEARINCS _ ITEM #(AS PRINTED ON AGENDA)
ll,-r
LOBBYTST REGISTRA IION IS REQLTIRED, PRIOR TO ENGA(;ING IN ANY I,OBBYING ACI'IVITITS. WIII]THER OR NOI'
C]oMPENSA TION IS PAIDOR RICEIVED IN CoNNEC-TION WITII THoSE .\C'TIVITIES. F]ACII I,oBB\1ST SIIALI, I.Il,I: WTTII T}ITJ
CITY CLERK AN ANNT]AL REGISTRAI'ION STATTJMFNI'AND PAY AN ANNUAI, TWO HLINDzu]D FII:IY IX)I-LARS ($25O,OO)
RECISTRATION I.EE FOR EACH PRINCIPAL OR EMPI-OYTiR RIGISTRATION FORI{S ?\R[ AV.\IL:\tsLL ON TIIIl CII'Y WEBSITE:
u'\\'w.DAlllABEACHIjt-.GOV. (ORDINANCE #2012{19; AMEM)ED BY ORDINANCE #2019419)
Y Cit\ Clcrk't)o!ument\,Cit] ( i)mmission l\lcetings,PLIlll.lC Sl'l:-$,lNG l-( )R\1I(x)l ).doc
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REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEACH
5€A n UW IT LOW lT
The C iry-' is required b1 state larv to keep minutes of Ciq Commission meetings. To properll identif]
persons uho address the City Commission in those minutes. the Ciq requests that this lorm be completed
and provided to the Cit) Clerk. belbre the meeting ns
DATE OF COMMI ON TIN(i:.l0
PRINT NAME:
ADDRESS:
q
PHONE NO. (optional):EMAIL ADDRESS:
PLEASE CHECK ONE OR BOTH OF THE BOXES BELOW:(Svt^-P\G "nf
IT V CITIZEN COMM-bN IS:
Commens (1' DiEEeach citiren, ,)r interesled parties that are not part ofthe regular printed agenda may bc made during each
Commission'meeting during the period set aside lor "Citizen Comments." Athirty (30) minute "Citizen Llomments ' period shall
be designated on the agenda for citizens and interested persons to speak on maners not scheduled on that da)'s agenda. Each
speaker shall be limited to 3 minutes lor his or her commcnts. Persons desiring to speak during the citizen comment period shall
intbrm the Ciq Clerk immediately prior to thc bcginning of the me€ting of their intention to sp!'ak. If more thar l0 speakers
e\prcss a desire to speak, the Commission shall determine on a meeting by meeling basis whether to (a) cxtend the time allotted
for citizen comments to accommodate all speakers, or (b) whether to limit the number of speakcrs or arnount of time per speaker.
A speaker's time shall not be transferable to another spcaker.
PLEASE BRIEFLY DESCRIBE THE SUBJECT MAT OF YOUR COMME
G\
2t IJ PUBLIC HEARINGS ITEM #(AS PRINTED ON AGENDA)
PLEASE NOTE: IF YOU Wlstl TO SPEAK ON AN ITEM Tlt{T PERT{NS IO A -ZONING" T\?E OF N'I^TTER (FOR E)aAMPLE. A
SIII PLAN, VARIANCE, SPECIAL EXCEPTI0N oR SIMILAR t\?F] OF ITEM KNO\IN As A 'QIiASI-JIIDICLAL' N4-Al lhlt YOLI
ARE SLIBJECT TO BEINC ASKED TO SWEAR OR .A.['FIRM THAT 1'OII WIL BE TRUTHFUL AS I'O YOIIR COMNIENTS OR
TESTIMONY YOU IU-AY AISO BE SLIBJECT TO QUESTrcNS ASKED OI YOLI BY AN APPLICANT OR AN APPI-ICANT-S
RTPRESENTATIVE OR AT]'ORNEY WHICH REI,ATE To THE ITEM,
ANY PERSON WHO DECIDES TO APPEAL ANY DLCISiON N{ADE \\'ITH REGARD TO ANY NI-{TTER CONSIDLRID A'T 1IIIS
N{EETINC OR TIEARING WILL NLED A RECORD OF THE PROCEEDIN(i. AND TOR SLICII PURPOSL NT\Y NEED TO ENSLTRF
TfIdT A VERI}A]'IM RECORD OF THE PROCEEDIN(J IS NLA.DL WTIICII RLCORD INCI-LIDES THE TESTIN{ONY AND EVIDENCE
UPON \!'HICH THE APPEAI IS TO tsE BASED,
I OBBYIST REGISTRATION IS RIQUIRED. PRIOR TO ENCA(iING IN ANY LOI]BYING ,\C IIVITILS. WTIETM]R OR NOT
COMPENSATTON IS PAIT' OR RECEI\TD IN CONNECTION WII'H THOSE CTIVITIES. EACH LOBBYIST SHALL }-ILE WITIi ItIE
CITY CLERK AN ANNUAL REGISIRATION S IAI'EMENT AND PI\Y AN ANNI-IAL TWo HI]NDRLD IJII:TY IX)LLARS ($25O,OO)
REGISTRATION FEE FoR EACH PRINLTIPAI OR Ei\'{PI.O\TR. RECISTRAT()N IORMS ARI AVAILABLL ON I IIE CITY WEBSITE:
u wu'.DANLABLACIf L.CTOV. (ORDINANCE #20 12-0 1 9; AMLNDhD IJY ORDIIi:\NCE #20 1 9-01 9)
Y:,Cii Clerk\Documents\City Commission Meetings\PLfBl-lC SPEAKINC FORNT (002).doc
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