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• <br /> • <br /> EVERETT CITY COUNCIL <br /> • SPEA1 ER S REQUEST SHEET • <br /> • <br /> • NOTE: PLEASE STATE YOUR NAME AN)ADDRESS BEFORE YOU-BEGIN <br /> PT,EASE PRINT: • <br /> DATE: • <br /> • <br /> NAME: i,/i6r0 f G Jfl if <br /> ADDRESS: 3o/ 7 G,9./v) 4 4IJ) 8 0 S <br /> • <br /> CITYISTAI`E: 14/4 <br /> • <br /> I wish to speak to the Everett City- Council under "Citizens- Commients" or <br /> "Audience Comments" regarding a topic that is not on the agenda. Briefly describe <br /> your topic.below: <br /> • <br /> • <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•to speak. 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 you the time you may need. Please return this form once - <br /> completed to the Connell Administrator before the meeting begins. <br /> Project of Activity Title: Datei <br /> Meeting[Activity Location: <br /> Everett City Coin-Tell meeting 3002 Wetmore Avenue, Everett,Washington,98201 <br /> Name(Please Print): Gender: <br /> IIMale QFeinale <br /> General Ethnic Identification Category (please check one) <br /> ❑Caucasan. EHispanicAmericm. 'American Indipn(A?askmNative _ <br /> flAftican American flksianfPacif c Island 0 Other <br /> Color: .ilafionalO ? <br /> • <br /> "CTVE,RIGHT'S ACT OF 1964 Tf>s.Vt STA i k d=TO TIE PUBLIC: 27,2 Ciry of Everett hereby gives ptblic ratice that it is policy of <br /> the City to assure f tll compliance with Title PT of the Civil Rights Act of 1954,the Civil Rights Restoration Act of 1987, and related sfa lies <br /> and regulations in all its programs and actiVities. Persons wishing U formation rega_ding the Cuy's Title YI compliance-may call 425-257- <br /> 8703, Title i/Specialist fOr the City Council." <br />