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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: Jerry Cygler <br />ADDRESS: 1415 Corona Lane, South Beach, FL 32963 <br />SUBJECT MATTER FOR DISCUSSION: <br />IS A PRESENTATION PLANNED? <br />IS BACK-UP BEING PROVIDED <br />IS THIS AN APPEAL OF A DECISION <br />WHAT RESOLUTION ARE YOU <br />REQUESTING OF THE COMMISSION? <br />PHONE: <br />772 774 8515 <br />Safety, environmental concern, items not on agenda. <br />YES x NO <br />YES x NO <br />YES x NO <br />ARE PUBLIC FUNDS OR ACTIVITIES REQUIRED? <br />x <br />YES <br />NO <br />WHAT FUNDS OR ACTIVITIES ARE Activities only.Reviews or motions to present regulations. <br />REQUIRED TO MEET THIS REQUEST? g <br />Transmitted to Administrator Via: <br />Interactive Web Form <br />E -Mail <br />Fax <br />Mail <br />Hand Delivered <br />Phone <br />• <br />COUNTY ADMINISTRATOR:, fJ <br />Z4oseph A.•Baird <br />MEETING DATE: ,/J j, 4 a/ <br />109 <br />