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In the modern regional management system, new principles, methods and tools should be used. The purpose of this paper is to substantiate theoretical and methodological approaches to the application of foresight technologies as a modern tool for optimizing the system of regional management in the formation of a strategy for sustainable development.The paper analyzes the Russian and international experience of foresight formation and identifies the features of foresight introduction at the meso level; a roadmap for the sustainable development of a region, developed based on an analysis of long-term forecast and program regional documents, as well as a SWOT analysis of the socio-ecological and economic system of the Republic of Tatarstan. The study determines the significance of foresight technologies in the context of the formation of sustainable development strategies for regional and municipal administrations. Recommendations on the developed "Roadmap for the Sustainable Development of the Republic of Tatarstan" were studied and used in implementing measures to ensure the sustainable development of the urban economy.