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Backup Documents 01/22/2013 Item #11J 11J 11 (PLEASE PRINT CLEARLY) � \ /i/ e C) - eda Item # MEETING DATE_ 7 `' 2 2 ^ / AGENDA ITEM TITLE i ' (Circle Meeting Type) Regular Special Workshop Budget NAME... v 2� 1/YP ---.--_ ADDRESS 5.c:-, t / f`r• Representing/Petitioner: t " ��-� ("-LCt'cr %„i,f�? _` COLLIER COUNTY ORDINANCE NO.2003-53,AS AMENDED BY ORDINANCE 2004-05 AND 2007-24,REQUIRES SHALL,BEFORE ENGAGING IN ANY LOBBYING ACTIVTTZES(INCLUDING,BUT NOT LIMITED TO,ADDRESSING THE BOA COMMISSIONERS),REGISTER WITH THE CLERK TO THE BOARD AT THE BOARD MINUTES AND RECORDS DEPARTM ALL-LOBBYISTS BOARD OF COUNTY YOU ARE LIMITED TO THREE(3)MINUTES FOR YOU COMMENTS AND ARE TO ADDRESS ONLY THE CHAIR PLACE COMPLETED FORM ON THE TABLE LEFT OF THE DIAS IN THE BOARD ROOM PRIOR TO THE SUBJECT BEING HEARD