REQUEST TO BE ON CITY COUNCIL AGENDA

2. REQUEST TO BE ON CITY COUNCIL AGENDA
   (Must be made no later than 12:00 noon on the Friday prior to the council meeting)

   (Must be made no later than 12:00 noon on the Friday prior to the council meeting)

4. Date of Request*
   Date of Request

   Today's Date

5. Meeting Date*
   Meeting Date

7. Speaker's Name*

9. Address 1*

10. Address 2

12. City*

13. State*

14. ZIP Code*

16. Speaker's Phone Number*

18. Matters to be discussed*

20. From Rules of Procedure, Rule 5. Public Address to the Council

22. Request must state the nature of the specific comment/question/concern that will be addressed*

    (You will not be able to discuss matters that are not listed on your request)

    1. I understand this rule.
24. A person may speak on any subject regarding the city and municipal government, but may not address the same issue more than once every four weeks*

    1. I understand this rule.

26. Remarks shall be limited to five (5) minutes*

    1. I understand this rule.

28. All remarks shall be addressed to the council as a whole and not to any member*

    1. I understand this rule.

30. No question may be directed to any council member, the mayor, or a city employee without the permission of the president*

    1. I understand this rule.

32. Whenever any group of persons wishes to address the council on the same subject, the president may request that a spokesperson be chosen by the group or may limit the numbers of persons addressing the council.*

    1. I understand this rule.

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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field