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2. Technical Advisory Committee - Public Comment Registration and Submittal Form

   Any member of the public wishing to speak on an agenda item, which calls for public comment, may do so either in person or virtually:

   In-person:

   On the day of the meeting a comment card shall be completely filled out. Comment cards will be available at the start of the meeting and must be received by the Committee Chair prior to the close of public comment for each item. If commenting on multiple items, a comment card shall be completed for each individual item.

    Via WebEx (virtually):

   Virtual comment is offered as a courtesy. The City is not responsible for technical difficulties that may periodically arise. Pre-registration shall be REQUIRED using this form. Speaker registration shall be submitted by 6:00 PM the day before the meeting. This form shall be completed for each individual item.  Public comment shall be limited to three minutes maximum. 

   By completing this form you hereby agree to follow the Rule of Conduct which prohibits harassing, obscene, untruthful, slanderous comments regarding personnel and elected officials. Persons failing to comply with the rules are subject to removal from the room. For additional information refer to Rules of Procedure Concerning Public Appearance before the Board/Committee. Lobbyist are required to register in accordance with Section 30.15 of the Code of Ordinances.

   All comments received during the submission period will become part of the public record. Comments left on voicemail machines, emailed, posted to the City’s social media accounts or submitted after 6:00 PM the day before the meeting shall not be accepted.

   Those without internet access or who may need additional assistance, may call the Planning and Urban Design Division at 954-921-3471, option 3, during normal business hours.

6. Deadline Acknowledgement*

   1. I acknowledge that comments submitted after 6:00PM the day before the meeting will not be accepted.
7. Agenda Date
   Agenda Date
9. File Number or Reference Name: *
   Enter the file number provided on the meeting agenda
10. Name: *
    Enter your full name
11. Phone Number *
    Enter your phone number (You may be contacted during meeting times for questions)
13. Address*
    Enter your Address
14. City*
15. State*
19. Public Comment(s)*
    -- Select One --Neither For Nor AgainstIn Favor Opposed

    Select position on the item from the drop down menu and type public comment(s) in the field below.
20. Type of Public Comment *
    -- Select One --Registered to Speak via WebExRegistered to Speak In Person
22. Confirmation*

    1. I SOLEMNLY SWEAR OR AFFIRM THAT THE TESTIMONY GIVEN IS THE TRUTH, THE WHOLE TRUTH, AND NOTHING BUT THE TRUTH.
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field