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• <br /> EVERETT crTY COUNCIL <br /> • SPEAKERS REQUEST St'i+:ET <br /> • <br /> NOTE: PLEASE STATE YOUR.NAME AND ADDRESS BEFORE YOU BEGIN <br /> PLEASE PRINT: <br /> • <br /> DATE: . A/0V LC> a�lf • <br /> • <br /> NAME: <br /> 9 4a e 4R/JQs4E-I <br /> ADDRESS: /Ao? 2gc,r-e ?- 4 . <br /> • <br /> CITY/STATE: . V erg miq 9,r23 <br /> • <br /> I wish to speak to the Everett City Council under "Citizens' Comments" or <br /> "Audience Comments" regarding a topic that is not on the agenda. Briefly describe <br /> your topic.below:itec <br /> reA4-1mi4e , or/ gzl2 rcJ ( Aye. . <br /> • <br /> • <br /> • <br /> I would like to comment on Agenda item # - on today's agenda. You will be <br /> given an opportunity to speak when that item is called. <br /> Each citizen is asked to limit comments to 3 minutes. The purpose of this practice is to allow all <br /> citizens a fair opportunity_ spe <br /> ak.eak. If you wish to give a longer presentation, please contact the <br /> Council Office at (425) 257:-8703, before you speak, either•in writing, or by phone, so that other <br /> arrangements may be made to allow your the lime you may need. Please return this form once - <br /> completed to the Connell Administrator before the meeting begins. . <br /> • <br /> • <br /> Project of Activity Title: <br /> Date: <br /> Meeting/Activity Location: <br /> Everett City Council meeting 3002 Wetmore Avenue, Everett,Washington,98201 <br /> Name(Please Print): Gender: <br /> °Male °feemale <br /> General Ethnic Identification Category (please check one) <br /> °Caucasian °Hispanic American °American Indian Native <br /> °African American flAsianiPacific Island <br /> Color. ,National Origin: <br /> • "CIVIL RIGHTS ACT OF 1964,TITLE VI STATMENT TO THE PUBLIC: The City of Everett hereby gives public notice that it is policy of <br /> with Tle VI of the Civil Rights Act of 1964,the Civil Rights Restoration Act of 1987,and related statutes <br /> the regulationsg to assure in full compliance regarding the City's Title VI compliance-may call 425-257- <br /> 8703,and all its programs and activities. Persons wishing.information <br /> Title YI Specialist for the City Council." <br /> • <br /> • <br />