City Council Agenda Item Request

2. 

3. City Council Agenda Item Request
   375 Depot Road Clarkston, MI 48346 (248)625-1559

   375 Depot Road Clarkston, MI 48346 (248)625-1559

5. Today's Date
   Today's Date

7. City Council Meeting Date
   City Council Meeting Date

8. NOTE:
   Council meetings are held the second and fourth Mondays of each month. All agenda items must be received by noon on the Thursday prior to a meeting.

   Council meetings are held the second and fourth Mondays of each month. All agenda items must be received by noon on the Thursday prior to a meeting.

10. First Name*

11. Last Name*

13. Address1

15. City

16. State

17. Zip

19. Phone Number*

20. Email

22. Describe Item *

24. Action Requesting*

26. Attachments

28. 12/5/2015

Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field