12-11-17 Speaker Forms v **;c**:F**** it**W.***.7717 '� �)CXriTF'i�^ ..7011-IF!t?'. .:aAGTI K:gf:A-Pr YVX
SPEAKER REQUEST FORM
Date: /z///// 7 Name: 62j Avp
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:
X25 //' /? cJ1 City:
Address:
Phone No.: J Z�5 7 E-mail: fitc-zcc Girvu�'�`� Gam.-�-• 7lif/C
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
wish to address the Commission during Courtesy of the Floor on:
❑ Agenda Item No.
and/or
❑ Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of agenda item
o I do not wish to address the Commission, but I am opposed to agenda item
0 WELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
Date: 0--/i/ o/ _ Name: �� ; v" ' % s�
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: // S o ° Keje. 4 City:
Phone No.: E-mail:?'d -L/ `%4A,3' /t p ) A '. ce3 '
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
yz" wish to address the Commission during Courtesy of the Floor on:
i Agenda Item No. €3k,
and/or
o Topic not on the agenda:
o I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. o I am opposed to the above agenda item.
o I do not wish to address the Commission, but I am in support of agenda item
o I do not wish to address the Commission, but I am opposed to agenda item
WELCOME ren
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
Date: /7- ';i7 - 241 Name: /49:47(-- , c.? 4-
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: 7
/ f 1. e. C r�'`� Q.r/2
Address: f/ i �xti f r � � ,� �'_= f 6°u City: a I if r _..
Phone No.: „?(// ':','9:A.;:12,/,-
WELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views. •
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
Date: JQ /L/ /i Name: inari , Ma-WC--
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: )2Y g L4 5 cch-C. • City:
Phone No.: 701 S8 y E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
o I wish to address the Commission during Courtesy of the Floor on:
r(Agenda Item No. 'S 6
and/or
o Topic not on the agenda:
o I wish to address the Commission during the Public Hearing for Agenda Item No.
o I am in support of the above agenda item. o I am opposed to the above agenda item.
o I do not wish to address the Commission, but I am in support of agenda item
o I do not wish to address the Commission, but I am opposed to agenda item
WELCOME00)
To the Atlantic Beach City Commission Meeting
•
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
Date: ir/ `' Name:
l (41 l 0AJA/D-
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: City:
Phone No.: E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
[VI wish to address the Commission during Courtesy of the Floor on:
o Agenda Item No.
and/or
`y,:"Topic not on the agenda: LA.."/rt%hP-K/4j/;J G"ACCz
o I wish to address the Commission during the Public Hearing,for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
o I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
WELCOME
. C/re
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
Ii
Date: I a - (. Name: 4 eUVV/(. CaAl C,
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:
Ir- 1
Address: 7 � ) ��`��-�� � {-4\--Q- City: AE
Phone No.:1--?S n(.1 E-mail: C C7 An
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
1 wish to address the Commission during Courtesy of the Floor on:
N Agenda Item No.
and/or
❑ Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
,, I am in support of the above agenda itep. ❑.lar-if opposed to the above agenda item.
rid_
n I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
prow-
prow-SPEAKERR REQUEST FORM
101
Date: FI \ ‘`M Name: cZ_ - � - (. `
L r
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: t-.\ ,---i MILNVIld �
3 ry
Phone No.: 61 rSk64u ?) - C) E-mail: kaINH, .,c‘.c\e, , ro-)alm,
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
wish to address the Commission during Courtesy of the Floor on:
n Agenda Item No. :.
and/or '
El Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
E3k=E do not wish to address the Commission, but I am in support of agenda item
El I do not wish to address the Commission, but I am opposed to agenda item
WELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
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: I c l -y\ P4City: ---
Phone
Phone No.: E-mail:Q'7 "0--)/U
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ I wish to address the Commission during Courtesy of the Floor on:
❑ Agenda Item No.
and/or
❑ Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No. 1,
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
WELCOME iri)
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
Date: 1A- 1-7 Name: 1\1 a )"` o r
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: Y3 , 56`I. I L rett- City: 6 r -CoC.0
Phone No.: 5 �3(/4 E-mail: J01"v` .y`0 U (r`^b• J\ t, t. 6 Ifkr.
v
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
I wish to address the Commission during Courtesy of the Floor on:
o Agenda Item No. 6
and/or
o Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
o I am in support of the above agenda item. o I am opposed to the above agenda item.
o I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
WELCOME 10
•
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve.
We ask that everyone in the meeting practice'the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
***************************************************************************************************************************
SPEAKER REQUEST FORM
Date: ���-;'`�� f��' Name: . dt-14,
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 YOU0R CONTACT INFORMATIONIBELOW IS OPTIONAL:
Address: I ail l�Z dam" City: 44(,ih
Phone No.:g0L' 144"ZI/I3E-mail 774-0 , , COYY1
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
wish to address the Commission during Courtesy of the Floor on:
Agenda Item No. g=15
and/or
❑ Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
o I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
WELCOME 4r ,V/ / L
FT
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
Date: \ .j (,I j 1,1 Name: <JenKo 5-ct26
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: WS F th Sir ' ' City: Nc\ r+tc Beach
Phone No.: E-mail: \ehr c . ;Vo?.i C 0) Cr, R ! • Cc)
tea.
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ I wish to address the Commission during Courtesy of the Floor on:
r.
❑ Agenda Item No. r_", i
and/or
❑ Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
&I do not wish to address the Commission, but I am in support of agenda item 8 8--A
❑ I do not wish to address the Commission, but I am opposed to agenda item
11.11Prilr- 4111W Piat4
...m**************************************************************************** * .* . ***
SPEAKER REQUEST FORM
l r 7R
Date: I 111 t / I Name: O(A Co7
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: 0O1 z,--0A)I-1�0 -J Dr- City: A -1-10:1"17 ea %i..
Phone No.: g9+ +S.551 E-mail: (,ago G-L, ' 4... / • vo w
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
o I wish to address the Commission during Courtesy of the Floor on:
o Agenda Item No.
and/or
o Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
o I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
I do not wish to address the Commission, but'I am in support of agenda item 4- 1
47,
❑ I do not wish to address the Commission, but I am opposed to agenda item
WELCOME ? o `d:`' a
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
•
Collaborate, do not compete or collude. .
Trust each other, unless and until such trust is violated.
***************************************************************************************************************************
SPEAKER REQUEST FORM
•
Date: Ga/ (l/I e'° Name: Hvi) o'r\ 116-r r
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: 117 c-J City: c 1 ,nk -r-
Phone No.: E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ I wish to address the Commission during Courtesy of the Floor on:
o Agenda Item Nom:'
and/or
❑ Topic not on the agenda:
o I wish to address the Commission during the Public Hearing for Agenda Item No.
o I am in support of the above agenda item. o I am opposed to the above agenda item.
API do not wish to address the Commission, but I am in support of agenda itend5P 5cjtom. Pe`' r
°I do not wish to address the Commission, but I am opposed to agenda item