2021-08-03 Ex 05�a
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a� CITY OF OKEECHOBEE
(863) 763-3372 Ext. 9812 FAX (863) 763-1686
EMaiL: rbrock@cityofokeechobee.com
CITY COUNCIL AGENDA ITEM REQUEST FORM
PLEASE SUBMIT COMPLET�D FORM TO:
CITY ADMINISTRATOR
55 SE 3RD AvErruE, RooM 201
OKEECHOBEE, FLORmA 34974
ATTtv: Robin Brock,
NAME: l�•
ADDRESS:
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TELEPHONE: �� ,� �� 3 ��� Em� il
MEETING: REG�L � �� SPECIAL ❑
Please state the item �'ou wish to have
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Please state what department(s) you
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WORKSHOP
on the a�enda
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Pleas state desire action by the City Council
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Please summar�pertinent information conce:
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If a presentation is to be made, please limit the time to ten minutes unless otherwise
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SIGNED BY:
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