REQUEST TO PRESENT ITEMS BEFORE THE
CITY COUNCIL OF THE
CITY OF DICKINSON
Date of Request ______________
Date of 1ext Council Meeting ____________
Request Made By: ______________________________________
Mailing Address: _______________________________________
Phone: __________________ (home) __________________ (work)
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Please state the reason you wish to speak to Council. Please attach any and all
documentation regarding this matter to this request.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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Please be advised, the agenda is posted on the Thursday prior to the City Council
meetings. This request must be received by the Monday prior to the posting of a
meeting to appear on the next City Council meeting. Until approval of the Mayor is
obtained, this request will not be placed on an agenda.
Julie Masters, Mayor
Date Approved: ________________
Thank you,
Alun W. Thomas
_____________________________
City Secretary
Accepted: ____________________
(281) 337-6217
Form Revised: June 28, 2016