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CITY OF CENTERVILLE <br />REQUEST FOR ACTION <br />Agenda Item # <br />Department: RequestedMeetingDate <br /> <br />TITLE OF ISSUE: <br />Check List <br />BACKGROUND AND SUPPLEMENTAL INFORMATION: <br />The check list is included in the packet for the board's review. <br />COST AND SOURCE(S) OF FUNDING: <br />REQUESTED ACTION: <br />Motion to approved the check list as presented in the packet. <br />For ClerkÓs Use: <br />SUPPORTED DOCUMENTS ATTACHED <br />Motion By: ____________________________________ <br /> Resolution Ordinance Contract Minutes Plan Map <br />Second By: ____________________________________ <br />Vote Record: AyeNay <br />____ <br />Other (specify) check List <br />_____ <br />_________________________________________ <br />_____ <br />_____ <br />_____________________________ <br />_____ <br />_______________________________________________________________ <br />Refer to: _________________________________ <br /> Tabled Until: ______________________________ <br />Consent <br /> Other: ___________________________________ <br /> Regular <br /> <br />