01-17-19 speaker formsCITY OF ATLANTIC BEACH
Speaker Form
IF YOU PLAN TO ADDRESS THE PARKING AND PEDESTRIAN SAFETY ADVISORY
RESOURCE COMMITTEE ON ANY MATTER AT THIS MEETING, PLEASE COMPLETE THIS
FORM AND GIVE IT TO CHAIR STINSON AT THE BEGINNING OF 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:
ADDRESS
TELEPHONE #
COMMENTS:
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CITY OF ATLANTIC BEACH
Speaker Form
IF YOU PLAN TO ADDRESS THE PARKING AND PEDESTRIAN SAFETY ADVISORY
RESOURCE COMMITTEE ON ANY MATTER AT THIS MEETING, PLEASE COMPLETE THIS
FORM AND GIVE IT TO CHAIR STINSON AT THE BEGINNING OF THE)MEETING.
NAME DATE ) ie -a DS L_
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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TELEPHONE # ¶
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CITY OF ATLANTIC BEACH
Speaker Form
IF YOU PLAN TO ADDRESS THE PARKING AND PEDESTRIAN SAFETY ADVISORY
RESOURCE COMMITTEE ON ANY MATTER AT THIS MEETING, PLEASE COMPLETE THIS
FORM AND GIVE IT TO CHAIR STINSON AT THE BEGINNING OF THE MEETING.
NAME C SPG -0-j DATE I /1 I
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
TELEPHONE #
COMMENTS:
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