Ic Form 1028 Citizen Request For Future Agenda Items - Ivins City

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IVINS CITY
55 N. Main St. Ivins, UT 84738
Tel. 435-628-0606 Fax 435-674-5486
CITIZEN REQUEST FOR FUTURE AGENDA ITEMS
Any person wishing to request an item to be discussed on a
future agenda that has not already been addressed previously,
should comment at this time. A Citizen Request Form should be
filled out in advance and given to the City Recorder. Remarks should
be limited to not more than two minutes, unless additional time is
allocated by the Governing Body. No action will be taken by the
Mayor and City Council the evening that the item is addressed and all
items will be referred to staff for follow up and a report.
Name:______________________________________________
(Please Print)
Address:____________________________________________
Phone No.:__________________________________________
Topic: _____________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
IC Form 1028 2014-03
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