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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 County 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 County 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: '1C <br />ADDRESS: Pc ��y PHONE: <br />SUBJECT MATTER FOR DISCUSSION: <br />IS A PRESENTATION PLANNED? <br />IS BACK-UP BEING PROVIDED <br />1S THIS AN APPEAL OF A DECISION <br />WHAT RESOLUTION ARE YOU <br />REQUESTING OF THE COMMISSION? <br />mos kS3`) <br />P43V)c_ c_oc3s <br />YES <br />YES <br />YES <br />NO <br />r_g-m30 <br />V <br />NO <br />ARE PUBLIC FUNDS OR ACTIVITIES REQUIRED? <br />WHAT FUNDS OR ACTIVITIES ARE <br />REQUIRED TO MEET THIS REQUEST? <br />YES I J NO <br />Transmitted to Administrator Via: <br />Interactive Web Form <br />E -Mail <br />Fax <br />Mail <br />Hand Delivered <br />Phone <br />COUNTY ADMINISTRATOR: <br />MEETING DATE: <br />oseph A. Baird <br />100 <br />