9-10-13 Speaker Forms cv_ w011 Mfrtc, (
C(( IYI go S
CITY OF ATLANTIC BEACH
IF YOU WISH TO ADDRESS THE CODE ENFORCEMENT BOARD ON ANY MATTER AT THIS
MEETING,PLEASE COMPLETE AND GIVE THIS FORM TO THE SECRETARY PRIOR TO THE
MEETING.
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NAME Lac\ bo 6n\ d 'w\ (z. , Est. (Jr, nc i- (0,(11
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TELEPHONE# (95L1) LASS DATE C1 IV/
AGENDA ITEM# OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
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5 CITY OF ATLANTIC BEACH
IF YOU WISH TO ADDRESS THE CODE ENFORCEMENT BOARD ON ANY MATTER AT THIS
MEETING, PLEASE COMPLETE AND GIVE THIS FORM TO THE SECRETARY PRIOR TO THE
MEETING.
NAME 1 -Y:1,1,) 31Y\J`i'h ' r rf-} H'eu) S•
ADDRESS CA t \44 , 1 �?
TELEPHONE # q b1.I - (o , 2f9 DATE )/.I v// 5
AGENDA ITEM# I3-atop ?3 OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)