2. 

3. Town of Shady Shores

   101 South Shady Shores Rd

   Shady Shores, TX 76208

   Office of the Town Administrator

   940-498-0044 x 100

   town.administrator@shady-shores.com

5. Request to Schedule Item on Council Agenda

7. First Name*
8. Last Name*
10. Address*
    Please enter full address city state and zip code
12. Organization
14. Phone Number
15. Email Address (0ptional)
17. Topic to be Addressed: *
19. Format of topic: Presentation, Testimony, PowerPoint, etc.
21. Are you requesting action on this item?

    1. Yes
    2. No
23. Amount of time requested:

    (Must be less than 10 mins)

25. Materials to be provided to council?

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26. Materials Upload
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27. 1. Receive an email copy of this form.
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