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EVERETT CITY COUNCIL -- <br /> • SPEAKERS REQUEST SHEET <br /> • -• NOTE: PLEASE STATE YOUR NAME AND ADDRESS BEFORE YOU BEGIN- <br /> PLEASE <br /> EGINPLEASE PRINT: <br /> • 7 15 • <br /> - DATE: <br /> . NAME: _MR - <br /> ADDRESS: 3 I ZC 0 - <br /> CITY/STATE: W • <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: < - • <br /> •a . • . CiAZIALV06 ) 17t /etdt, ' b <br /> Mailrl'° :tnilliMi e 4 •/LI......_ . ...ii .!INS :,A <br /> alt,PSIWII/1 '.. - - -eti 4_ ie__,-K- <br /> • <br /> I would like to comment on Agenda item H. - 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 yoti. the time you may need. Please return this form once - . <br /> . completed to the Council Administrator before the meeting begins. . . <br /> Project of Activity Title: Date: <br /> Meeting/Activity Location: • <br /> Everett City Council meeting 3002 Wetmore Avenue, Everett,Washington,98201 • <br /> Name(Please Print): Ge der: <br /> e ['Female <br /> General Ethnic Identification Category (please check one) <br /> ['Caucasian DHispanic American ❑American Indian/Alaskan Native . <br /> ['African American ❑Asian/Pacific Island ['Other <br /> • <br /> Color: ,National Origin: • <br /> "CIVIL RIGHTS ACT OF 1964,TITLE VI STATEMENT TO THE PUBLIC: The City of Everett hereby gives public notice that it is policy of • <br /> the City to assure full compliance with Title VI of the Civil Rights Act of 1964,the Civil Rights Restoration Act of 1987, and related statutes <br /> and regulations in all its programs and activities. Persons wishing information regarding the City's Title VI compliance-may call 425-257- <br /> 8703, Title VI Specialist for the City Council." <br />