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03-24-1998 Regular Meeting CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 A regular meeting of the City Council of the City of Clermont was held Tuesday, March 24, 1998 in the Council Chambers at the Police Department. The meeting was called to order at 7:30 p.m. by Mayor Pool with the following Council Members present: Council Member Cole, Council Member Wolfe, Council Member Brown, and Council Member Norquist. Other City officials present were City Manager Saunders, Finance Director Van Zile, Planning Director Harker and Clerk Beasley. INVOCATION The Invocation was offered by Council Member Norquist followed by the repeating of The Pledge of Allegiance to the Flag by all present. MINUTES The minutes of the regular Council Meeting held March 10, 1998 were approved as presented. CITY MANAGER SAUNDERS' REPORT Lincoln Park Recreation Area City Manager Saunders stated he attended the Lake County School Board Meeting held March 23 and was given unanimous support to enter into a long-term agreement for the Lincoln Park Recreation Area, an approximate 3.5 acres located across from Clermont Elementary School. They directed theft staff to develop the lease agreement which will be presented to the Council for final approval. Council Workshop Council Members agreed to hold a Workshop on Monday, April 6, 1998 at 6:00 p.m. at the Council Chambers in the Police Department to discuss prepare for the upcoming CRA meeting which will be held approximately two weeks later. CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 2 Visioning Session The first visioning session was set for Monday, April 20, 1998 at 7:30 at Jenkins Auditorium. The Regional Planning Council will send a staff member at no cost to the City who has conducted other visioning sessions for other communities to facilitate the meeting. City Engineer Council Member Wolfe asked for an update on the search for a staff engineer. City Manager Saunders reported that advertisements have been running for several weeks for a City Engineer. More ads in professional magazines will be running soon and resume's are arriving. MAYOR POOL'S REPORT Mayor Pool congratulated Fred Sommer, Ann Dupee and Ray Gilley, South Lake residents for awards they received from the Lake Sentinel and the League of Cities. MAYORAL PROCLAMATION - Clermont-Minneola Lions Club Candy Days Mayor Pool read the Clermont-Minneola Lions Club Proclamation observing Candy Days on April 3 and 4, 1998 and urged citizens to support this campaign as all proceeds are used for sight conservation. VISITORS WITH BUSINESS Pat Sykes-Amos, Greenlee, Kurris, Rice & Brown Pat Sykes-Amos representing the firm of Greenl~e, Kuris, Rice and Brown presented the 1997 Comprehensive Annual Financial Report document and answered questions CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 3 from the Council regarding the audit. A study of compliance and the internal control system are explained in the back of the book and the report indicates no findings. Certificate of Achievement for Excellence in Financial Reporting Mayor Pool congratulated Finance Director Van Zile on receiving the Certificate of Achievement for Excellence in Financial Reporting from the Government Finance Officers Association of the United States and Canada for the comprehensive annual f'mancial report for the 9~ consecutive year. Orlando Regional Sports & Health Tom Ziebart requested the following in regard to the June 20 and 21 USAT National Championship Triathlon to be staged at the Waterfront Park from Thursday through Sunday: 1. Use of City banner holders in the Central Business District and Highway 50. 2. Closure of the boat ramp during the event on June 20 and 21. 3. A fiat rate of $250 for parking at the Waterfront Park June 18 through 21. Up to $1,000 for Clermont Officers that are used for traffic control only within the City limits. The event will be televised on Saturday, June 20 which will air on the Outdoor Life cable network into 30 million homes. 98-093 A motion was made by Council Member Cole, seconded by Council Member Norquist. and carried unanimously to approve the USAT National Championship Triathlon at the Waterfront Park June 18-21 and the use of the City banner holders, the closure of the boat ramp on June 20 and 21, CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 4 a flat rate of $25O for parking at the Waterfront Park June 18-21 and up to $1.000 donation for Clermont police officers used for traffic control within the Ci~. limits. South Lake Ministerial Fellowship City Manager Saunders stated that Mike Vosbrink, Vice President of the South Lake Ministerial Fellowship has requested use of the Waterfront Park for the community Easter Sunrise service on Sunday, April 12. He stated that the event was held at the Waterfront Park last year and was very well attended. He recommended approval. 98-094 A motion was made by Council Member Cole, seconded by Council Member Wolfe. and carried unanimously to approve the use Waterfront Park for the Easter Sunrise Service on April 12, 1998. Brian MacKellar - Variance Request City Manager Saunders stated that the applicant is requesting the following variances to a residential lot located on Lake Minnehaha at the intersection of Hook Street and Lake Shore Drive: 25' front yard setback where 35' is required, 88' width where 100' is required, and 9,314 square feet lot where 10,000 square feet is required. Mayor Pool stated that a Quasi-Judicial hearing is required for this request, and that anyone wishing to speak in favor of or in opposition to the request should be sworn in. City Clerk Van Zile swore in Kimberly MacKellar, 11626 Crescent Pines Blvd., Clermont. Mrs. MacKellar stated they are ready break ground if the variances are granted. City Manager Saunders stated that this identical request has been approved in the past by the City Council, however, construction must begin within one year of the request, otherwise the variance becomes void. This property is located in an R-1-A zone, however, all of the other houses located south of this lot are in the R-1 District which requires a 75' wide lot, 25' front setback, and lot size of 7,500 square feet. Rather CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 5 than a request to extend the R-1 area for this lot, the applicant is requesting the variances as stated. The request would be consistent with all the other homes located along this lakefront strip. 98-095 /t motion was made by Council Member Brown, seconded by Council Member Wolfe, and carried unanimously to grant a 25'front yard setback, an 88' width and lot size of 9,314 square feet to Brian MacKellar for a R-IA residential lot located on Lake Minnehaha at the intersection of Hook Street and Lake Shore Drive. UNFINISHED BUSINESS Final Reading of Ordinance 343-M City Manager Saunders stated that Ordinance 343-M will annex approximately 10 acres located north of Highway 50 east of the northern extension of Hancock Road. Mayor Pool read Ordinance 343-M by title only and stated that a Quasi-Judicial hearing is required for this request, and that anyone wishing to speak in favor of or in opposition to the request should be sworn in. City Clerk swore in Dr. Bob Westrick, President of Lake Sumter Community College, 33013 Damon Court, Leesburg. Dr. Westrick asked for approval of the annexation of the 10 acres which is part of the property which will be used for the new Lake Sumter Community College campus. City Manager Saunders stated the property is a 10 acre enclave.' 98-096 A motion was made by Council Member Cole, seconded by Council Member Norquist, and carried unanimously by roll call vote to adopt Ordinance 343-M. CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 6 Final Reading of Ordinance 345-M City Manager Saunders stated Ordinance 345-M will close a 30' platted right-of-way that runs westerly from the northern extension of Hancock Road into the Lake Sumter Community College property. Mayor Pool read Ordinance 345-M by title only and stated that a Quasi-Judicial hearing is required for this request, and that anyone wishing to speak in favor of or in opposition to the request should be sworn in. City Clerk Van Zile swore in Dr. Bob Westrick, President of Lake Sumter Community College, 33013 Damon Court, Leesburg, Florida. Dr. Westrick explained that closing the right-of-way will eliminate access problems. City Manager Saunders explained the only purpose of the right-of-way was to provide access to the 10 acre parcel that the College purchased and annexed in Ordinance 343- M and it is no longer necessary. 98-097 A motion was made by_ Council Member Brown, seconded by Council Member Wolfe. and carried unanimously by roll call vote to adopt Ordinance 345-M. Final Reading of Ordinance 342-M City Manager Saunders stated that Ordinance 342-M will rezone approximately 170 acres located northeast of the intersection of East Jacks Lake Road and North Ridge Boulevard from R-R Rural Residential to R-1 Single Family Residential. Mayor Pool read Ordinance 342-M by title only and stated that a Quasi-Judicial hearing is required for this request, and that anyone wishing to speak in favor of or in opposition to the request should be sworn in. Finance Director Van Zile swore in the following: Matthew Modica Carl Smith, Jr. Keith Henderson 1606 Penzance Street, Clermont 16531 Bay Ridge Drive, Clermont 420 Whitewing Circle, Minneola CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 7 Mr. Smith explained that his engineer was not present to present the plans, however, they are rezoning the property to develop with single-family residences. Matt Modica recommended that the project be tabled and not be rezoned so that rural settings can be protected. He was concerned with rampant growth, inadequate roads and facilities and the quality of life is deteriorating. Mr. Henderson stated he is involved with the Little League and he was concerned that there are not enough ball fields to adequately provide for the current number of users and if more housing is allowed, they will need to turn kids away. City Manager Saunders stated that the Planning and Zoning Commission recommended approval for the rezoning. The Comprehensive Plan for this area allows densities up to four units an acre. The R-1 zoning typically allows between 2.8 and 3 units per acre. He explained there is a recreation impact fee in place and approximately $130,000 would be collected from this development as an R-1 single-family subdivision which could only be used for capital expenditures for recreation facilities. The City Council also has the ability to negotiate with a developer when they come in with their preliminary plan for their subdivision, to possibly dedicate land with or without facilities in exchange for recreation impact fees. Planning Director Harker reviewed a map of the 1,200 acre Fosgate property area and noted the pending developments. City Manager Saunders recommended approval of the zoning change to R-1. He recommended that the area be reviewed for a possible recreation site at a Workshop when the preliminary plan is submitted, with input from the Park and Recreation Committee. A 26-acre undeveloped site on Hancock Road, acquired about two years ago has already been designated for a regional park. Council Member Wolfe was concerned there could be 2,500 additional homes built on the Fosgate property and the traffic is already congested on Highway 50. He requested that the rezoning be tabled so the City Manager can negotiate with the developer for a recreation area. Council Member Norquist stated that the proposed rezoning complies CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 8 with the Comprehensive Plan and if it was denied, the message would be that the City doesn't know what it has. He stated impact fees will provide for the recreation areas. 98-098 After considerable discussion, a motion was made by Council Member Wolfe. seconded by Council Member Brown and defeated three to two by roll call vote with Council Member Norquist, Council Member Cole and Mayor Pool voting nay to table Ordinance 342-M. 98-099 A motion was made by Council Member Norquist, seconded by Council Member Cole. and carried three to two by roll call vote with Council Member Wolfe and Council Member Brown voting nay. to adopt Ordinance 342-M. Final Reading of Ordinance 344-M City Manager Saunders stated that Ordinance 344-M will abandon a right-of-way in Tract 8, Section 20 of Lake Highlands Company on the corner of Mohawk Road and Grand Highway adjacent to the Clermont Church of the Nazarene. Mayor Pool read Ordinance 344-M by title only and stated that a Quasi-Judicial hearing is required for this request, and that anyone wishing to speak in favor of or in opposition to the request should be sworn in. No one asked to speak. City Manager Saunders recommended adoption of Ordinance 344-M. He stated that they have been working with the Church of the Nazarene and Lake County for the dedication of a new right-of-way in order to straighten out the intersection which has not yet been received. He recommended the adoption be approved contingent upon the receipt of the new right-of-way. This right-of-way was initially vacated by Lake County, however, to completely clear the property it must also be closed by the City. The Church is providing a new alignment for the rebuilding of this intersection. CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 9 98-~00 A motion was made by Council Member Wolfe, seconded by Council Member Cole. and carried unanimously by roll call vote to adopt Ordinance 344-M contingent upon the receipt of a new right-of-way. NEW BUSINESS Resolution//995 City Manager Saunders stated that Polk County is requesting a permit from St. Johns Water Management District to divert water from Lake Lowery which would change the natural northerly flow with the diversion to the south. Lake Lowery along with Big and Little Creek form the headwaters from the Palatlakaha Basin which includes the Green Swamp area and the Clermont Chain of Lakes. This water subsequently continues to flow north to the Ocldawaha Basin, all of which is a major contributor to the St. Johns River Basin. They are proposing to divert some of the water south because of problems with the water being too high. Residents living near Lake Henry which lies to the south have also objected because it will raise the level of that lake. The diversion of any water from the historical northerly flow would have a detrimental effect on our Chain and the basin. This resolution opposes the request for the permit. Lake County has adopted a similar resolution and copies of this resolution, along with the request for adoption is being sent to other Lake County cities. 98-101 A motion was made by Council Member Cole, seconded by Council Member Brown. and carried unanimously by roll call vote to adopt Resolution 995. Communication City Manager Saunders stated approval is requested for a Change Order for the upgrade of our communication equipment to include $9,465 for a base station and remote improvements. This will allow us to maximize the use of our new equipment which increases our coverage area for Police and Public Services and provides a separate CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 10 channel for our Fire Department. We recently received a grant of $5,000 from a portion of a Lake County communication grant that can be used for the cost of the new data recorder. This would free up $5,000 of the previous federal grant that we had received that was to be used for this upgrade with the difference of $4,465 being appropriated from General Fund Reserves. 98-102 A motion was made by Council Member Cole, seconded by Council Member Brown. and carried unanimously to approve the Change Order in the amount of $9. 365for a base station and remote improvements. Fuel Tank Removal City Manager Saunders stated that the in the process of building additional parking spaces in the Central Business District along Minneola Avenue, two underground fuel tanks have been discovered within the City right-of-way (north side of Minneola Avenue east of 8th Stree0. They are estimated to be 500 gallon tanks. Four quotes have been received (Andrew Bell, Inc., OHM, PEC and Acts) who are certified to do this type of work. The City does qualify for the State's tank removal program which will fund 75 % of any soil removal or remediation. The low quote is from Andrew Bell, Inc. for $7,741 for best estimate with a line item pricing. 98-103 A motion was made by Council Member Wolfe, seconded by Council Member Cole, and carried unanimously to approve Andrew Bell, Inc. in the amount of $7. 741 to remove two underground fuel tanks on Minneola Avenue. Vacuum Dewatering City Manager Saunders stated that this year's budget included $31,500 for replacement of one section of our sludge vacuum dewatering beds. The original plan was to budget the replacement of the second bed next year, however, he recommended approval of both beds at this time at a total cost of $53,438.57. The additional funding needed CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 11 above the $31,500 that is in this year's budget can be re-appropriated from the $10,000 originally budgeted for rebuilding of a centrifugal blower which has been done internally, and from $40,000 for telemetry equipment that we are recommending postponement of at this time. The $53,438.57 quoted takes into account a credit for warranty that still existed on the original beds. 98-104 A motion was made by Council Member Cole, seconded by Council Member Norquist, and carried unanimously to approve $53,438.57 to replace two vacuum dewatering beds with White, & Co. Impact Fee Study City Manager Saunders stated that Hartman & Associates were retained to review and update the City's impact fee schedule and ordinance. The original agreement made assumptions regarding available data. Hartman has indicated that they have expended $6,823 over and above the contract and are proposing to write off $5,083 with a request for a contract amendment for $1,740. City Manager Saunders stated that Finance Director Van Zile and he reviewed the available data and the data necessary for the review and computations by Hartman & Associates and recommend payment of the $1,740 under the original contract. Also recommended was a contract amendment for $1,500 for services outside the scope of the original agreement. The original agreement anticipated an update of the existing fees using the same basis for fee calculations. City Manager Saunders stated that several of the impact fee categories on the previous document relate to the number of persons or number of seats in certain type facilities. This is a very difficult standard to equate and can change without the City's knowledge. Hartman & Associates have been requested to re-evaluate these areas and provide a different method of calculating impact fees for these categories which will standardize many of the computations. 98-105 A motion was made by Council Member Brown, seconded by Council Member Norquist. and carried unanimously to approve a contract amendment of $1.740 under the original contract and a contract CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 12 amendment for additional services with Hartman & Associates in the amount of $1,500. Property Acquisition City Manager Saunders requested final approval for the acquisition of properties of James Ellrodt, Mark Chodos and Ken Norquist for access to the proposed boat ramp site. Mr. Ellrodt has executed a contract for $35,000 which is the amount approved previously by the City Council. Mr. Chodos, who owns the property north of Ellrodt's has executed a contract for $'17,500. The parcel north of Mr. Chodos is owned by the City of Clermont. The parcel north of the City is owned by Mr. Norquist and an exchange agreement between the City and Mr. Norquist in exchange for the easterly approximate 2,100 square feet of the City-owned parcel with no monetary exchange is recommended for approval. The square footage of the property to be deeded from Mr. Norquist to the City is 2,930 square feet. This will complete the acquisition of the required right-of-way except for the approximately 25' wide piece north of Mr. Norquist's which is owned by Mr. Sutton who is presently in North Carolina and has expressed willingness to work with the City. City Manager Saunders further stated that condemnation would be a necessity if Mr. Sutton is not agreeable. 98-106 A motion was made by Council Member Cole, seconded by Council Member Brown. and carried four to one with Council Member Wolfe voting nay. to approve the purchase of Mr. Ellrod's property for $35,000. 98-107 A motion was made by Council Member Cole, seconded by Council Member Brown. and carried four to one with Council Member Wolfe voting nay. to approve the purchase of Mr. Chodos property for $17,500. 98-108 A motion was made by Council Member Cole, seconded by Council Member Brown. and carried three to one with Council Member Norquist abstaining and Council Member Wolfe voting nay to enter into an exchange agreement with Ken Norquist. CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 13 Boat Ramp City Manager Saunders requested approval to approach the Lake County Water Authority for funding in the amount of $140,000 for the construction of the new boat ramp and approval to move ahead with the advertisement for bids for the project. The total cost of construction including access road and storm water improvements is estimated to be between $250,000 and $290,000. Lake County has awarded a $62,500 grant to the City and $90,000 is included in the City's budget. Council Member Wolfe stated it was inappropriate to request funding from the Lake County Water Authority for boat ramp funds from funds the Water Authority set aside for storm water retention areas. He stated funds from the Water Authority would be more appropriately used to rectify Center Lake's excess water rather than recreation. City Manager Saunders explained that the request is not to use stormwater funds, but to point out that there was a savings to the Water Authority with regard to the stormwater project and they could appropriate boat ramp funding without adversely affecting their budget. 98-109 A motion was made by Council Member Cole, seconded by Council Member Brown. and carried four to one with Council Member Wolfe votine~ nay to request $140.000 in grant funds.from Lake CounU Water Authori~_ and approve the advertisement of bids for the construction of the boat ramp. Elevated Tank - Change Order #1 City Manager Saunders stated that in the process of refurbishing the 100,000 elevated tank on Disston Street, we found it necessary to change the vent on top of the tank which was rusted beyond repair resulting in the enclosed change order request for $1,200. CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 14 98-110 A motion was made by Council Member Cole, seconded by Council Member Wolfe. and carried unanimously to approve Change Order #1to Frank Shelton UtiliU Service. Declaration of Surplus Property City Manager Saunders stated he is recommending that the City Council declare as surplus property the 2.69 acre parcel located south on Mohawk Road. The property can be advertised for sale with a minimum bid recommended to be $29,590. 98-111 A motion was made by Council Member Cole, seconded by Council Member Wolfe. and carried unanimously to declare the 2.69 acre parcel located south on Mohawk Road to be surplus properS, with a minimum bid to be $29.590. Bid Award - Roof of Sheriff Sub Station and Jenkins Auditorium City Manager Saunders stated that this year's budget included $30,000 to re-roof Jenkins Auditorium and the City building currently leased to the Lake County Sheriff Department. We have received two bids for both jobs with the low bid for the Sheriff sub station being $18,900 and low bid for Jenkins being $29,500. We recommend approval of the $18,900 bid from Engelmeier Roofing for the Sheriff Substation which is in need of immediate re-roofing. We recommend rejection of all bids for the Jenkins Auditorium. Some repairs with City crews will take care of any immediate problems and a complete re-roofing of this building can be reviewed at a later date. 98-11Z A motion was made by Council Member Norquist, seconded by Council Member Cole. and carried unanimously tO approve the bid of $18,900 to Engelmeier Roofing for the Sheriff Substation and rejection of the bids for Jenkins Auditorium. Center Lake CITY OF CLERMONT MINUTES REGULAR COUNCIL MEETING MARCH 24, 1998 Page 15 City Manager Saunders stated that the increased rains have over-filled Center Lake, flooding the street and endangering the lift station. Center Lake has over-f'flled only twice in about 15 years, the second time just recently, with the water directed into Lake Winona after receiving a temporary permit by St. Johns River Water Management. St. Johns has also indicated they may allow a permanent solution of the pumping of the Center Lake water into the Central Business District retention area at over-filled times. Council Member Wolfe suggested that the City request a grant from the Lake County Water Authority for the Center Lake water problem if they deny the boat ramp grant. 98-1i-§ A motion was made by Council Member Wolfe, seconded by Council Member Brown. and carried unanimously to submit a grant application for Center Lake water discharge from Lake Count. Water Authori~_ if the boat ramp grant is denied. There being no further business or discussion, the meeting adjourned at 10:00 p.m. Robert A. Pool, Mayor Attest: ~~~rk FORM 8B M IORANDUM· OF VOTi I I 'CONFLICT FOR COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS LAST NAME--FIRST NAME--MIDDLE NAME NAME OF IIOARO, COUNCIL, COMMISSION. AUTHORITY. OR COMMITrEE. ~orquist, Ken .' ,' Council Hember, Clermont City Council MAILING ADDRESS CITY COUNTY .'. DATE ON WHIt'H VOTE OC¢'L(IRRE~ THI:. ROARI). COUNCIl., COMMISSION. AUTHORITY. OR COMMITTEE ON 1 SERVE IS A UNIT OF: ! ' COUNTY I; OTHER LOCAL AGENCY NAME OF POLI'FICAL SUBDIVISION: · :: ELECTIVE APPOINTIVE WHO MUST FILE FORM liB This form is for use by.a. ny person serving al the county, city, or other local level of government on an appointed or elected board, council, commission, authority, or committee. It applies equally to members of advisory and non.advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. The requirements of this law are mandatory; although the use of this particular form is not required by law, you are encouraged to use it in making the disclosure required by law. Your responsibilities under the law when faced with a measure in which you have a conflict of interest will vary greatly depending on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before completing the reverse side and filing Ihe form. INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES ELECTED OFFICERS: A person holding elective county, municipal, or other local public office MUST ABSTAIN from voting on a measure which inures to his special private gain. Each local officer also is prohibited from knowingly voting on a measure which inures to the special gain of a principal (other than a government agency) by whom he is retained. in either case, you should disclose the conflict: PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature or your interest in the measure on which you are abstaining from voting; and WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the minutes of the meeting, who should incorporate the form in the minutes. APPOINTED OFFICERS: A person holding appointive counly, municipal, or other local public office MUST ABSTAIN from voting on a measure which inures to his special private gain. Each local officer also is prohibited from knowingly voting on n measure which inures to the special gain of a principal (other than a government agency) by whom he is retained. A person holding an appointive local office otherwise may participate in a matter in which he has a conflict of interest, but must disclose the nature of the conflict before making any attempt to influence the decision by oral or written communication, whether made by the officer or at his direction. IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE TAKEN: You should complete and file this form (before making, any attempt to influence the decision) with the person responsible for recording the minutes of the meeting, who will incorporate the 'form in the minutes. · A copy of the form should be provided immediately to Ihe other members of the agency. · The form should be read publicly at the meeting prior to consideration of the matter in which you have a conflict of interest. IF YOU MAKE NO. -.,,A'I~£MPT TO. . ., ~.. EXCEPT BY VOTE AT THE MEETING: · You'should disclose orally the nature of your conflict in the measure before participating. · You should complete the form and file it within 15 days after the vote occurs with the person responsible for recording the of the meeting, who should incorporate the form in the minutes. DISCLOSURE OF STATE OFFICER'S INTEREST / · l, , he.by disclose that on ~ ~ (a) A measure came or will come before my agency which' (check one) ~nured to my s~ial private gain; or ~ ~ .. inur~ to the s~ial gain of (b) The measure before my agency and the nature of my inlerest in the measure is as follows: , by whom i am retained. Date Filed ' Signature NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317 (1985), A FAILURE TO MAKE ANY REQUIREI~ DISCLOSURE CONSTITUTES GROUNDS FOR ANi~ MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPEI~SION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000. FORM