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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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TELEPHONE # DATE
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
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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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Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
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PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
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CITY OF ATLAINTIC BEACH
NC W3
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.
Date: Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address: or r-'(/
Phone #:
Email:
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM #
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OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
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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.
Date: 2 Z Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address:
Phone #:
Email:
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM #
OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
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CITY OF ATLANTIC BEACH
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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. %
Date: Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDINGG YOUR CONTACT IpNFORMATION BELOW IS OPTIONAL:
Address: P 7f��
Phone #: �/ " Email: w'i l/ ! Z lax-(
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM # OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)