CITY OF
Item # _____________________________
REQUEST FOR COUNCIL ACTION
THE CITY COUNCIL MEETS THE SECOND WEDNESDAY OF
THE MONTH AT THE COMMUNITY CENTER AT 7:00 P.M. UNLESS OTHERWISE POSTED. ANY REQUEST TO APPEAR ON THE AGENDA AND ADDRESS
THE COUNCIL MUST BE SUBMITTED IN WRITING ON THIS FORM AND THE FORM MUST BE
RECEIVED AT THE CITY OFFICE FIVE (5) WORKING DAYS PRIOR TO THE DATE OF THE
MEETING.
* denotes required fields
* Person responsible for request: _____________________________________________________
* Department:
_____________________________________________________________________
* Council Meeting Date:
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* Subject Title (as it will appear on the
agenda):
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* Background (provide sufficient detail of the
subject):
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* Financial Consideration (if any):
___________________________________________________________________
* Legal Consideration (if any):
______________________________________________________________________
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* Other Consideration:
_____________________________________________________________________________
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* Resolution (wording should reflect the intent
of the Council vote): _______________________________________
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