City Council

75 North 100 West P.O. Box 277 Midway, Utah 84049 Phone: 435-654-3223 Fax: 435-654-4120 midwaycityut.org Request to be on a City Council Agenda Name: Organization: Phone: Email: Mailing Address: City: State: Zip: Reason for the Request: Please Note: 1. This is a general application. Specific applications are required for land use approvals, conditional use permits, etc. 2. Return this completed application to the city recorder’s office or email to bwilson@midwaycityut.org. 3. You will be notified within 2 weeks if your request to be on the agenda is approved or declined. 4. City council regular meetings are held on the 1st and 3rd Tuesdays of each month at 5:00 p.m. in the Midway Community Center (160 West Main Street). 5. Please provide supplemental information for your item no later than two weeks before the meeting. This information will be provided to the Council prior to the meeting. For Office Use Only Date Received: Date Approved: Meeting Date: