HomeMy WebLinkAboutCitizen Comment FormsREQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEACH*r [. Lm r. Lort lT
The Cir-"* is required by state law to keep minutes of Ciry.- Commission meetings. To properl-'- identi!'
persons who address the City Commission in those minutes. the Cit) requests that this form be completed
and provided to the City Clerk. before the meeting begins.
I)ATE OF COMMISSION MEETING:20_4i
PRINT NAME:RoWn- R,
ADDRESS: 4725 7-rq11a.-a<_ &4_ I)a rtt*-
P HoNE No. lopti onay : I b3- 3k laEz/z EM AIL ADDRE S S :
PLEASE CHECK ONf OR BOTH OF THf BOXES Bt]LOW:
i Y-CITIZENCOMMENTS:
C omments by Dania Bcach citizens or intere$ed parties that are not part of the regular printed agenda ma! be made during cach
( ommission meetiog during thc period set aside for "Citiz-eo Comments." A thirty (30) minute ''Citizen ( omments'' pe riod shall
be dcsignated on the agenda for citizens and interested persons to speak on matters not scheduled on th&t day's agcnda- Flach
spealer shall be limited to 3 minutes for his or her comments. Perons desiring to speak during the citizcn comment period shall
inform the CiB Clerk immedialel) prior to the beginning of the mceting of their intention to speat. lf more than l0 spcakers
e\preis a desire to spei*, the Commission shall determinc on a meering by meeting basis whether to (a) cxlcnd the timc alloned
lbr citizen comments to accommodate all speakers. or (b) whether to limit the number of speakers or arnount oitime per spcakcr.
A spcakcr's time shall not be transferable to another speaker.
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT:
-u**-
l)ff pvs;r,c HEARINGS - ITEM #- (AS pRINTED oN AGENDA)
ta- ( t2'?
PLEASI NOTE: IF YOU WISH TO SPEAK ON AN mM 'IHAT PERTAINS To A'ZONING" IYPE OF MATTER (rOR EXAMPLL. A
SITE PLAN, VARIANCE. SPECIAL EXCEPTTON OR SIMII-AR TYPE OF ITEM KNOWN AS A *QUASI.JT'DICIAL'' MATTER, YOU
ARE SIIBJECT TO BEING ASKED TO SWEAR OR A}'IJIRM IHAT YOt] wlLL BE TRIJTTIFT]L AS 'IO Yot]R COMMENTS OR
TESTIMONY- YOU MAY ALSO 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 APPEAI, ANY DECISION ITA.DE WITH REGARD 1'O ANY MATTER CONSIDERED AT THIS
I\ILLTING OR HEARING W]LL NEED A RECORD OF THE PROCEEDINC. .AN'D FOR SIJCH PURPOSE MAY NLED 1'O ENSIJRE
TILA-T A VERBATIM RECORD OF THE PROCEEDING IS MADE \I'HICII RECORD INCLUDES THE IESTIMONY AND EVIDENCE
IIR)N WHICH TTIL APPEAL IS TO BE BASED,
I-oI}BYIST REGISTRAIION IS REQI'IRED, PRIOR'IO ENGAGING IN ANY LOBBYINC ACTIVITII.]S. WIIEI]IER oR NOT
COMPENSATION IS PAID OR RECEIV[jD lN CONNEC I ION WITH THOSti ACTMI tES. [,ACH I-OBBYIS l StlAt l. FILE WITII ItlE
CII'Y CLERK AN ANNUAI- REGIST&A'TION STATE]!IIiN1' AND PAY AN ANNUAL IWo HI]NDRED fIII'Y DoLLARS ($]50 OO)
REGIS'I'RA.TION FEE TOR EACH PRINCIPAL OR SI\IPL0YFR. REGISI'RA IIoN FORN{S i\RE AVAII-.\BI-I] 0N TIIE CITY $'I'BSI I'IJ:
U \I W.DANIABEACIIr L (lOV. (ORDINANCE #2012419: AMENDED BY ORDI\ANCE #2019-Ol9)
\' \Ci[ Clerk\Documents\CnJ' Commission Meerings\PLIBI-lC SPEAKING ]oRNt (002).doc
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEACH
sEA rT UvE rT LovE 11
The Ciq is required by state larv to keep minutes of Ciq Commission meelings. To properlf identif;
persons who address the Ciry- Commission in those minutes. the Ciry requests that this tbrm be completed
and provided to the City Clerk, before the meeting begins.
DATE OF COMMISSION MEETING:J. rx- Z3 20;Bo
PHONE NO. (optional)EMAIL ADDRESS:
PLEASE CHECK ONE OR BOTH OF THE BOXES Bf LOW:
I) X. CITIZEN COMMENTS:
t omments b! D*io Bea"h .itirens or interested panics that are not part of the regular printed agenda ma1 be made during each
Commission meeting during the period sct aside for "Citizen Comments." A thin)- (30) minute "Citizen Clomments" period shall
be designated on thi agendi for citizcns and intcrestcd peGons to spcak on matters not scheduled on that day's agenda. Iiach
spcakcishall be limited to 3 minutes for his or her comments. Persons desiring to speah during the citizen comment period shall
i;form rhe Ciq- Clerk immediately prior ro the beginning of the meeting of fieir intention to spea.li. If more than l0 speakers
exprcss a desire to speak, the Commission shall determine on a meeting b) meeting basis whether to (a) c\tend the time alloned
foi citizen comments to accommodate all speakers, or (h) whether to limit lhe number ol'speakers or amount oi time per spcaker.
A speaker's time shall not be transtbrable to another spcaler.
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT:
n pueLtc HEARTNGS rrEM #
Y'CU C^
(AS PRINl-ED ON AGENDA)
d
l)
PLEASE NOTE: IF YOU WISH TO SPEAK oN AN ITEN, THAT PERTAINS TO A "ZONIN(i T\?E oF N{ATTER (FOR EK^MPLh, A
SrIE PLAN, VARIANCE, SPECIAI- EXCEPTION OR SlNtlL-{R T\TE ()F lTEt{ KNO\IN z\s A 'QUASI-JITDICIAL- ]\4,\TTFR. YOU
,,\RE SUI}JECT TO BEINC ASKED TO SWEAR OR ATTIRM T}IAT Y0II WILL BE TRII'I'IUUL AS-ft) YOI.IR COMI{ENI'S OR
]'LSTIMONY YOT] MAY ALSO BE SUBJECT IO Q(]F,STIONS ASKIiI) OI YOU BY AN APPLICANI'OR AN APPLICANT'S
RITPRLSENTATIVE OR ATTORNEY WHICll RELATL 1O THE ITEM.
ANY PELSON WHO DECIDES TO APPEAT .ANY DECISION MADh WITH RECARD TO ANY I\4A.TTER CONSIDER-ED AT TmS
NIEETING OR HEARINC WILL NEED A RICORD Or IHE PROCEEDTNC, .AND FOR SUCH PIr'RPOSE I{lY NEED IO ENSIIRE
THAT A VERBATTM RECORD OF T1IE PROCEEDING IS MADE WHICH RECORD INCI-IIDES THE IESTIMoNY ANTJ EVIDENCE
TIPON WHICH THE APPEAL IS TO BE BASED-
I,OBBYIST REGISTRATION IS REQUIRI]D, PRIOR 'TO ENGAGIN{i IN ANY LOBI]YIN(i ACTIVITIIiS. WIIETIIER oR NOT
(.OMPENSATION IS PAID OR RECEIVED IN CONNECI]ON WITH ]'}IOSL ACTIVITIES. I]ACH I,OBI]YISl SHALL FILE WI'I'II 'tIIL
(N'Y CLERK AN ANNT]AI REGISTRAI'ION SIAIEMENT AND PAY AN ANNT]AL IWo HTNDRED I]U]IY IX)LLARS ($25O,OO)
REGISTRATION rEE FoR EACH PRTNCIPAL OR tMPl.oYER REGISTRA rION I-ORMS ARF Av.qILABLt: oN I HE CITY u la|Sl l L:
\\ww.DANLdBEACIIl-t..GOV. (ORDINANCE #2012{ l e: ,\-N{[NDED BY ORDIN.\NCE #2019419)
\ :\Cin ClerklDocume(s\Cit-!' Commission Meetings\PLl|t.lc SPEAKING FORI{ (002).doc
I'RINT NAMI,:
ADDRESS:
REQUEST TO AI}DRESS
C{TV COMMISSION AT REGULAR
OR SPEC{ALMEtrTINGS
DA.NIA BEA(H
lFA Ii t]VE ii IOVF IT
'Ihe City is required by state law to keep rninutes of City Cor:rrnission meetings. To properiy identi!
persons who address the City Commission in those minutes, the City requests that this fomr be comitleted
and pru.r,ided to the Cit-v Clerk, before the meeting begins.
DATE OF C IS ION MEETING:20
PRTNTN
I'FiOliE NC. (optiorali:
.I}i-E-{SE CEiECI{ OI{E OR BOTI{ OF TETE BOXES BELOW:
i) Lj _ CITIZEN COMMENTS:
Comments by Dania Beach cilizens or interest€d parties thal arc not part ofthe regular printed €enda may be made during each
Comnission neeting dudn8 the period set aside fo. "Citizcn Con'ments." A thi*y (30) minute "Citizen Comments" peiiod ehali
bc designated on the agenda lbr citizens and interested persons to speak on matteG not scheduled on that day's agenda. Each
speaker shall be linited to 3 ninutes lor his ot her comnrents. Pe$ons desiring to spgak during the citizen cornment perioC shall
inforrE the City Clsrk iDuediatily piior to the begini,iDg ofthe meeting of lheir iDtinticn to speak. if more than I0 spealiers
cxpress a <iesire to speali, the Co$mission shall determine on a me€tirrg by meeting basis whether to (a) extend thU time allofted
,br citizex co ments tc accommodete all speakers, or (b) wheth€r to limit thc lumber ofspeal(ers or amount oftime per speaker.
A spcak€r's tilile shail not be tralsferable to anothei speaker.
i,LEASE BR{EFLY DESCR]BE THE SUBJECT ]ViATTER OF YOUR C OMMENT;
'-i PUBLIC HEARINGS - lrEM #(AS PRINTED ON AGEI.{DA)
PLEASE NCTE: IF YOU WISI] TO SPEAK ON AN 1TEM TIIA] PERI.AINS TO A ,ZONING" T1?E OF MATTER (FOR EXAI},PLE, A
SII'E PL,AN. VARIANCE. SPECIAL EXCE;PTION OR SIMILAR T't?E OF ITEM KNOWN AS A "QUASI.JUDICIAL" I,4qTl ER- YCU
F.RE -CUtsJECT TO BEINC ASKED TO SWEAR OR ,A-FF]RM THAT YOU wlLL BE TRUTTIFUL AS TO YOUR COMMENTS OF.
TESTIMON\', YOU MAY ALSO BE SUBJECT TO QUESTIONS ASKED OF YOU BY AN A?PLiCANT OR AN ,APPLICIN{] S
REPRESEIiTATIVE OR ATTOfu.IEY WIJICH RELATE TO THE ITEM,
ANY PERSON WHO DECIDES TO APPEAL .A.NY DECISION MADE IryTTH REGARD TO ANY MATTER CONSIDERED AT THIS
MEETING OR HEARINC WILL NEED A RECORD OF THE PROCEEDING, AND FOR SUCH PURPOSE MAY NEED TO ENSURE
TFIAT A VERBATIM RECORD OF THE PROCEEDING 15 MADE WHICH RECORD INCLUDES THE TESTIMONY AND EVIDENCE
I]PON WHICH TIJE APPEAL IS TO BE BASED.
LOBBYIST REGISIRATION IS iIEQUIR.ED, PzuOR TO ENGAGING IN ANY LOBBYING ACTIVITIES, WHET}IER OR NCT
COMPENSATION IS PAID OR F.ECEIVED lN CONNECTION WITI{ THOSE ACTIVITIES. EACH LOBBY1ST SHATL FILE WITH THE
CITY CLERI.i.AN ANNTIA.L REGISTRATION STATEMENT AND PAY AN ANNUAL TWO HLTNDR'D FIF'TY MI-LARS ($25O.CO)
RECISTRATION FEE FOR E-A.CTi PRINCIP.AI OR EITIPLOYLR. REGISTRATION FORMS ARE AVAILABLE ON THE CITY VJEBSITE:
i\;wW.DANIABEACHFL.COV (OFDNANCE#2012-019: AMINDED BY ORDINANCE #20]9{19
\\FSl\Cler*\Cil' Ccrnmission Meetirgs\Agenda\PuBllc SPEAK0\JG FORM.dGC
REQUEST TO ADDRESS
CITY COMMISSION AT REGULAR
OR SPECIAL MEETINGS
DANIA BEA(H
SEAIT LIVE IT TOVE IT
1he City is required by state law to keep minutes of Cir)" Commission meetings. To properly identif,v
persons who address the City Commission in those minutes. the City requests that this fbrm be completed
and provided to the Cit-v Clerk. befbre the meeting begins.
.10 IDATE OF COMMTSSION MEETING:
PRINT NAME:6
nLl
loE Sf s EL
PHONE NO. (optional)EMAIL ADDRESS:
PLEAS HECK ONE OR BOTH OF THf I]OXES BELOW:
l)
( ommcnts
CITIZEN COMMENTS:
ia Beach citizens or intcrcstcd panics that are not part ol the regular prinred agenda may bc madc during cach
( ommission mecting during the period set aside lbr "Citizcn Comments. ' A thin]- (30) minute "Citizen ( ommcnts" period shall
be designated on the agenda for citizens and intcrcstcd pcrsons to speak on matters not scheduled on that day s agcnda. liach
speakcr shall be limited to J minutcs for his or hcr commcnts. Pcrsons desiring to speali during the citizen commcnt pcriod shall
inlbrm the City Clerk immediatel) prior to the beginning of thc mecting of thcir intention to speitk. II more than l0 spcakcrs
cxpress a desi.e to speak, the Commission shall dctcrminc on a mccting b)' meeting ba-sis \rhether to (a) extcnd thc timc allottcd
li)r citizcn comments to accommodate all speakers. or (h) whcthcr to limit thc number of speakers or anount of time per spcirkcr.
ipcakcr's time shall not be [-ansferable to another spcalicr.
(.Lfi
L-i PUBLIC TIEARINGS _ ITEM #(AS PRINTED ON AGF,NI)A)l)
PLEASE NOTE: r YOU WISH TO SPEAK ON AN ITEM THAT PERTAINS TO A "ZONING" TYPE OF MAT'I ER (FOR EXAMPLE. A
STIE PLAN. VAR]ANCE, SPECIAL EXCEP'IION OR SIMILAR TYPE OF ITEM KNoWN AS A 'QI]ASI.JUDICIAI-" MA1]I]R. YOIJ
ARE SUBJECT TO BEING ASKED TO SWEAR OR AFFIRM TTL{I YOU WILL BE TRLITHFUL AS TO YOIIR COMMTJNTS OR
I'ESTIMONY. YOU MAY ALSO BE SUBJECT 1'O QI]ESTIONS ASKED OF YOII BY AN APPI-ICANT OR AN APPLICANT'S
REPRESENTATIVE OR ATTORNEY WHICH RELATE TO I'}IE II'EM.
I-OBBYIST REGTSTRATION IS REQUIRED, PRIOR TO ENGACING IN .ANY LOBBYING ACTI\'ITIES, W}ILTIIER OR NOT
COMPENSATION IS PAID OR RECEIVED IN CONNECTION WITTI THOSE ACTIVITIES, EACH LOBBYIST SHAI-I, FII,FJ WITII TIII
CITY CLERK AN ANNUAT REGISTRATION STATEMENT AND PAY AN ANNUAf TWO HTJNDRED FITTY IX)LI,ARS I$25O,OO)
RECISTRATION FEE FOR EACH PRINCTPAI- OR EMPLOYER. REGISTRATION FORMS ARE AVAILABLE ON I'I IL ( I'I'Y WEBSITE:
U-llW.DANIABEACHFL.COv. (ORDINANCE #2012{19; AMENDED BY ORDTNANCE #2019419)
\ .\Cily Clerk\D)cuments\Ciry." Commission Meetings\PtIBt-lC SPI.AKIN(; FORM (002).doc
ADDRESS:
PLEASE BRIEFLY DESCRIBE THE SUBJECT MATTER OF YOUR COMMENT:
t,
ANY PERSON WIIO DECIDES TO APPEAL ANY DECISION MADE WITH REGARD TO ANY MATTER CONSIDERED AT THIS
I\IEFJING OR HEARING WILL NEED A RECORD OF .THE PR(TEEDINC, AND FOR SUCH PTIRPOSE MAY NLI:D TO ENSURE
I'IIAT A VERBATIM RECORD OF THE PROCEEDING IS MADE WHICH RECORD TNCLTJDES THE TESTIMONY AND F:VIDENCL
I IPON WTIICH THE APPEAL IS TO BE BASED,