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Agenda Item Request Form

  1. AGENDA ITEM REQUEST FORM

  2. OPTIONS OF REQUEST

  3. POWER-POINT

  4. (NOTE: MAX OF THREE (3) MINUTE PRESENTATION)

  5. *** REQUEST MUST BE COMPLETED AND APPROVED BY THE ABOVE LISTED INDIVIDUALS***

  6. Request(s) to be added to the agenda MUST be received by the City Clerk’s Office four (4) working days prior to the meeting date by noon. All backup documentation MUST be attached in order for this item to be placed on the agenda.

  7. FOR OFFICIAL USE ONLY

  8. Mode of Notification:

  9. Action Taken:

  10. Leave This Blank:

  11. This field is not part of the form submission.