Request to be Added to Council Meeting Agenda

Request to be Added to Council Meeting Agenda
City Council:
Mayor Tracy Tollefson
Dave Owings
Kimberly Savageau
Justin Schreiber
Patric McCoy
To request to be placed on the City of Glyndon’s Council Meeting agenda, please complete this form and submit it along with any written statements or supporting documents. This request must be received by the City Clerk no later than Friday prior to the Council meeting date.

Note: Agendas are adopted and/or amended at the Council meeting. By submitting this form you will likely be placed on the agenda, however the Council may decide at the meeting to table the matter, may request additional information from you or City staff, or may not take any action regarding the issue.
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone*
Date

MonthDayYear
Date
Do you plan on attending the meeting?

YesNo
Topic or matter to be discussed (Please attach additional documents below if needed)
Upload additional documents

Cancelof
City Hall: 36 3rd Street SE | PO Box 223 | Glyndon, MN 56547 | www.glyndonmn.com | 218-498-2578 | Fax: 218-498-2579
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