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EVERETT <br />WASHINGTON <br />EVERETT CITY COUNCIL <br />Public Comment Form <br />Thank you for being here today. Please fill out this form to speak at the council meeting. <br />State your name and city of residence when you begin speaking. Each person is asked to limit comments <br />to three minutes This allows everyone a fair opportunity to speak. Return this form to the council <br />administrator before the meeting begins. <br />All comments must be relevant and delivered to the Council as a whole in a respectful manner. The <br />following comments are not allowed: <br />• Comments on any kind of campaigning, whether for or against ballot measures or candidates <br />running for office <br />• Comments advertising any product <br />• Comments focused on personal matters that are unrelated to City business <br />You can also submit a comment and attend meetings online at everettwa.gov/city council. Click on <br />"Council meeting public comment sign up form." This must be done at least 30 minutes prior to the <br />meeting. Additional instructions are available on the web page. <br />City staff may wish to contact you for follow up, therefore, your contact information is appreciated. <br />/ DATE:2,t1� 4 2_11 <br />NAME (required): C �1 <br />CITY (required): F/V <br />EMAIL (optional): - <br />ZIP (required): 61 (J 22:-.DI <br />PHONE (optional): <br />DISTRICT (circle one): 1 2 3 4 5 (Thotsur Don't live in city <br />When would you like to deliver your comments: Is your topic on today's agenda? <br />During the comment period that will follow the agenda item <br />AGENDA ITEM #: <br />FqDuring the general public comment. Please state the topic you would like to <br />speak on: C,, <br />lAgt <br />Public Comment forms are public records and are subject to disclosure pursuant to the Public Records Act <br />(RCW 42.56) and may be posted online with City archived records. <br />