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EVERETT CITY COUNCIL -• <br /> • SPEAKERS REQUEST SHEET <br /> -• NOTE: PLEASE STATE YOUR NAME AND ADDRESS BEFORE YOU t " IN / <br /> PLEASE PRINT: - <br /> /y/�/A <br /> i I �i , <br /> • DA'!`E: • <br /> NAME: 7.- p i ? Ay. <br /> ;....,;..__------------------- <br /> ADDRESS: I D �r j E rr- - <br /> CTTY/STAirE: (Ai -/ ( 44^0Kt • . <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: {�v c . I - / X1 (111 6y <br /> 1 l <br /> - - . • <br /> . ._____ <br /> . -E-41/ _____,L.- <br /> -1-1-- -, . <br /> . . . . . <br /> _.•_. _ <br /> . -c,_ u (-_ t , --'-ii 70'5 7I- <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: Date: <br /> Meeting/Activity Location: - • <br /> - <br /> Everett City Council meeting 3002 Wetmore Avenue, Everett,Washington,98201 <br /> Name(Please Print): Gender: <br /> [Wale DPemale <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 />