2014-11-04 Southlake City Council meeting
Public Comment Form
Please print. Return completed form to City Secretary prior to start of regular session.
Name: 6,k Daft I S Date: I t " / " / 4
Address: (0 Se/ 7) &V t S `J ( td • SC) LA I-k14 u.- Phone: / '7- 706 J9S7J
(Include City and State)
wish to share my views o an Agenda
Agenda Item # '+4% '(Q 0 zk'( ( 9‘6
I will speak in SUPPORT of this item
tA A vill speak in OPPOSITION to this item
do not wish to speak, but please mx1 my
SUPPORT PPOSITION
C I wish to speak during Public Forum on an item not on tonight's agenda
Topic:
Note: To allow everyone an oppo heard, please limit your comments to 3 mutes.
Signature:
Required C will not be read into the record unless it is signed
Nov. 4. 2014 5:15PM TXIE No. 0170 P. 1
Notification Response Form 1\-)
ZA14-120
•
Meeting Date: October 23, 2014 at 6:30 PM
Zvenecek, Brian
PO Box
Southlake Tx 76092
PLEASE PROVIDE COMPLETED FORMS VIA MAIL, FAX OR HAND DELIVERY
BEFORE THE START OF THE SCHEDULED PUBLIC HEARING.
Being the owner(s) of the property so noted above, are hereby
in favor of ppci undecided about
• (circle or underline one)
the proposed Zoning Change and Site Plan referenced above.
Space for comments regarding your position:
Atid -2 4 ‘6.
dkiked. vse 4,t-t r ess-i 4to
der-e-i
Signature:
Date:
Additional Signature: _ Date:
Printed - Name(s): • • • • --- - --
Must be property owner(s) whose name(s) are printed et top. Otherwise contact the Planning Deparhnent One form per property.
Phone Number (optional):