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2. Anyone wishing to address the City Council, Planning Commission, or other City Board or Commission either in a Public Hearing or in the Visitors Section of the Agenda, must complete a Speaker’s Appearance Form prior to the meeting. Forms completed online should be submitted before 4:30 p.m. the day of the Council or Planning Commission meeting. If after 4:30 p.m., forms can be filled out in person and are to be given to staff prior to the start of the meeting. Speaker testimony will be limited to three minutes with discretion of the Mayor or Chair of the meeting.

   If you would like to enter a document into the record, please send via email to comdevlegal@bluespringsgov.com with the name of the project in the subject line.

    

4. Board or Commission I wish to speak at:*
6. Subject:*
   Please describe what matter you wish to address.
7. Date*
   Date
9. Testifying*

   1. In Support Of
   2. In Opposition To
10. On Behalf Of*
    -- Select One --MyselfBusiness or Organization
12. Speaker Information
14. First Name*
15. Last Name*
17. Business or Organization You are Representing
    Only use this line if you are speaking on behalf of a business or organization. Leave blank if speaking for yourself.
19. Address*
    Use home address if you are speaking on your own behalf. Use Business/Organization Address if representing a Business/Organization
21. City*
22. State*
23. Zip*
25. City Council District*
    -- Select One --123Not a resident
26. Please visit the City's interactive online map to determine your City Council District
    City Council District Map
28. Phone Number*
29. E-mail Address*
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field