ADDENDUM “B” REQUEST FOR AUXILIARY AID(S) AND/OR SERVICE(S)

NAME OF APPLICANT:                                   

NAME OF COMPANION:                                   

ADDRESS:                                      

TELEPHONE:                   CELL NO.:                 

DATE OF NEEDED AUXILIARY AID OR SERVICE:                      

SPECIFY AUXILIARY AID(S) AND/OR SERVICES REQUIRED:                    

DATE:                      SIGNED:                 

Please keep in mind that pursuant to Section 1-2-13 that establishes rules governing the address of the Village Board, all remarks must be kept to a maximum of ten minutes, shall be addressed to the Village Board, and shall not be disruptive to the business of the Board. The Mayor is empowered to remove individuals from any meeting should they fail to adhere to the rules regarding address of the Board.

(See Section 1-2-13(B))