2. Agenda Submission
   This form is to be used to submit agenda items for the monthly Board of Supervisors meeting. It is preferred that this form be submitted electronically along with any other information in PDF form required for the Supervisors and the Township Manager.
4. Agenda Topic
6. Representing Committee

   (if any)

   1. Business Advisory
   2. Board of Supervisors
   3. Building Code Appeals
   4. Communications

   1. Environmental Advisory
   2. Historical
   3. LCAC
   4. Planning Commission

   1. Recycling
   2. Safety
   3. Zoning Hearing Board
   4. Other
8. Other
10. Presenter
12. Presentation Length - approximately
    minutes
14. Information presented is for:

    (check one or more boxes)

    1. Information Only (No Decisions Required)
    2. Committee Progress Report
    3. Resolution – New or Updated
    4. Ordinance – New or Updated
    5. Grant Proposal
    6. Other
16. Please Note:
    For any information type other than 'Information Only' or 'Committee Progress Report' you must submit this form no later than 5 business days prior to the meeting.
18. Date
    Date
20. To: Eden Ratliff - Township Manager
22. From:
24. Re: Agenda Item Submission
26. Please accept this item for inclusion in the BOS agenda for the meeting scheduled for:

    1. Next Meeting
    2. The Meeting Scheduled for
28. Meeting Date
    Meeting Date
30. Thank You,
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field