Request to be on Agenda Please use this form to submit a request to be added to the next City Council or Planning and Zoning meeting. You are requesting to be added to:*City Council AgendaPlanning and Zoning AgendaName* First Last Business Name (if applicable)Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email Address* Enter Email Confirm Email Date of Meeting (if unsure, leave blank) Reason For Being on Agenda*Electronic Signature*By checking the box below, you agree that the information contained within this application is completed to the best of your ability and that willfully falsifying statements on this application constitutes a crime in the State of Missouri. I agree to submit my application electronically to the City of Clever Please Type Your Name* First Last CAPTCHA