2015/04/29 Council Agenda Packet

EVERETT CITY COUNCIL • • • SPEAKERS REQUEST SHEET • • • -. NOTE: PLEASE STN_TE YOUR NAME AND ADDRESS BEFORE YOU-BEGIN PLEASE PRINT: DALE: • • NAME: ��t of� i/Lle(1 ADDRESS: I CO I r CITY/STATE: Lam" • I wish to speak to the Everett City Council under "Citizens. Comments" or "Audience Comments' regarding a topic that is not on the agenda. Briefly describe your topic.below: • • I would like to comment on Agenda item # - - on today's agenda. You will be given an opportunity to speakwhen that item is called. Each citizen is asked to limit comments to 3 minutes. The purpoise of this practice is to allow all citizens a fair oppoxttmityto speak. If you wish to give a longer presentation, please contact the . Council. Office at (425) 257-8703, before you speak, eitherin writing, or by phone, so that other arrangements may be made to allow you the time you may need. Please return this form once • - completed to the Council Administrator before the meeting begins. . • • Project of Activity Title: Date: • Meeting l Activity Location: • - Everett City Conn cil meeting 3002 Wetmore Avenue, Everett,Washington,98201 Name(Please Print): Gender: [Male QFe3nale • General Ethnic Identification Category (please check one) ❑Caucas n ❑Hispanic American_ ❑AmericanIndian/A?aslmaNative OA icarr American t7AsianlPaeif c Island 00 her • Color: :National in "CI L RIGHTS ACT OF 1964,T21LE!7I STATEMEN TO TEE PUBLIC: The City of Everett hereby gives public notice that it is policy of { compliance with Title VI ofthe Civil Rights Act of 1964,the Civil RighiS Restoration Act of 1987, and related sto<�motes the City to assure fall comp..4rzce � .,�o ,� ;_�- and regulations in all its programs and ac iviti-eS. Persons wishing it formation regarding tine.City's Ti YI compliance-may call 42_ 07- 8703,Title Y"Specialist for the City Council."