05-27-21 Commission Workshop speaker forms (2)CITY OF ATLANTIC BEACH
IF YOU WISH TO ADDRESS THE CITY COMMISSION ON ANY MATTER AT THIS MEETING,
PLEASE COMPLETE AND GIVE THIS FORM TO THE CITY CLERK PRIOR TO THE
MEETING.
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ADDRESS ` 1o7 kiAev
TELEPHONE # 5--3y/ / DATE
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM # d-- OR SUBJECT TO BE DISCUSSEDESC E BELOW) RIB
CITY OF ATLANTIC BEACH
IF YOU WISH TO ADDRESS THE CITY COMMISSION ON ANY MATTER AT THIS MEETING,
PLEASE COMPLETE AND GIVE THIS FORM TO THE CITY CLERK PRIOR TO THE
MEETING.
NAME ,
ADDRESS
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TELEPHONE # / - ' - DATE
PERSON OR COMPANY THAT YOU REPRESENT APPLICABLE):
AGENDA ITEM #
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OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
CITY OF ATLANTIC BEACH
IF YOU WISH TO ADDRESS THE CITY COMMISSION ON ANY MATTER AT THIS MEETING,
PLEASE COMPLETE AND GIVE THIS FORM TO THE CITY CLERK PRIOR TO THE
MEETING.
NAME
ADDRESS (26'4 3ck L
TELEPHONE # i; 5-3- DATE
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM #
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OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
CITY OF ATLANTIC BEACH
IF YOU WISH TO ADDRESS THE CITY COMMISSION ON ANY MATTER AT THIS MEETING,
PLEASE COMPLETE AND GIVE THIS FORM TO THE CITY CLERK PRIOR TO THE
MEETING.
NAME
ADDRESS
C*- EG OF -Y
TELEPHONE # HI
L4 1 -
DATE
PERSON OR OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM #
OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)