Request for Placement on City Council Agenda

Edit Form

Date Submitted*

Address*

Mailing Address*

Phone Number*

Matter to come before the Agenda *?

Is this matter informational/no vote required?

Yes

No

Comments or Questions

If this matter is informational only please provide the following: 

1. 1-page brief with background/history and update/information (See example below)
2. Maps/site plans/tables/flier/program (if pertinent)

EXAMPLE
DRAFT BRIEF/EXAMPLE:
Date: (date)

To: Mayor Barley
Freeport City Council

From: (name/title/organization)
Re: (request for _________________)
Greeting:
“OBJECTIVE”

• What are you trying to achieve?

“BACKGROUND”

• What happened to make action necessary?
• Who was involved?
• Where is the property?
• What agencies have been involved previously?

“JUSTIFICATION” (choose one or more to discuss)

• Hardship Relief?
• What is the public benefit?
• Effects on economic development?
• Improvements to health and safety?
• Effects on local schools/education?
• Meeting community needs?
• Compliance with City Codes/Ordinances/Florida Statutes?

“ACTION REQUESTED”

Notes:

• The City Council may request additional information and review regarding any item placed on any council agenda and may table items as deemed necessary.
• Any matter which may require a legal opinion by the City Attorney may require additional submittals and may be tabled to a subsequent meeting for additional review.

SCHEDULE TO BE PLACED ON CITY COUNCIL AGENDA

The City Council has set the below schedule for staff to be able to compile and produce the council meeting agenda package:

1st Tuesday and 4th Thursday: 1 week prior to meeting with completed request form and required attachments by 4pm to the City Clerk

For Intake Review:

Paperwork Received : ___ /___ / ___ (date) & ___:___ (time)

Staff Reviewer:

Information needed to complete package: 

Resubmitted Package for Completeness Review: ___/___/___ (date) ___:___ (time)

Complete _____ Incomplete ______

Staff Reviewer: Package determined to require legal review by ____________________ (Name) YES ___NO ___

Package forwarded to City Attorney via mail___ fax ___ email____ on ___/___/___

Package scheduled for City Council Meeting ___/___/___ by _______________ (Reviewer)

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