Request to be on Agenda for City Council or Planning and Zoning

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 Agenda
- Planning and Zoning Agenda
Name*
First Last
Business Name (if applicable)
Address*
Street Address Address Line 2 City 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
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