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F Print Form <br />INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSION <br />REQUEST TO BE SCHEDULED FOR PUBLIC DISCUSSION <br />Any organization or individual wishing to address the Board of County Commission shall complete this <br />form and submit it to the Indian River County Administrator's Office. <br />PUBLIC DISCUSSION INFORMATION <br />Indian River Countv Code Section 102.04(10)(b): as a general rule, public discussion <br />items should be limited to matters on which the commission may take action <br />Indian River Countv Code Section 102.07(2): limit remarks to three minutes unless <br />additional time is granted by the commission <br />NAME OF INDIVIDUAL OR ORGANIZATION: //� " <br />e l o 0 Y n t C, l .S' e rntp <br />ADDRESS: q 4 Yom" rr W lr 6`l <br />PC' �. C / 4�__z -f 44 / e -r " ( 61,.r 27 01 e- t1c &- <br />PHONE: f 7 <br />SUBJECTM TTER FOR DISCUSSION: ItA/An o ✓t C,'Ylo� C <br />/ <br />IS A PRESENTATION PLANNED? Yes ❑ No <br />IS BACK-UP BEING PROVIDED? ❑ Yes `: No <br />IS THIS AN APPEAL OF A DECISION? ❑ Yes ' g] No <br />f <br />L � c�Y1 ory� i � • � E � E(� rIr �-ti <br />WHAT RESOLUTION ARE YOU REQUESTING OF THE COMMISSION? A <br />ARE PUBLIC FUNDS OR ACTIVITIES REQUIRED? ❑ Yes 1 ® No <br />WHAT FUNDS ORACTIVITIESARE REQUIRED TO MEET THIS REQUEST? �-�' e ---j <br />��-n <br />Transmitted to Administrator Via: <br />Interactive Web Form <br />E -Mail COUNTY ADMINISTRATOR: --— -- -- <br />Fax Jos . A. Baird <br />Mail <br />Hand Delivered MEETING DATE: _ _ O <br />Phone <br />243 <br />