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• <br /> EVERETT CITY COUNCIL • <br /> SPEAKERS REQUEST SHEET <br /> -- NOTE: PLEASE STATE YOUR NAME AND ADDRESS BEFORE YOU BEGIN <br /> PLEASE PRINT: <br /> DATE: . <br /> • •• <br /> • NAME: ;,cp_ <br /> • <br /> ADDRESS: '7 i—co- g <br /> CITY/STATE: <: Dek <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 /> bL CAP• L4 4 ' ) <br /> 0-7.‘&6HAV <br /> 1_171A.92i./.42 . FJ2,ttC • <br /> • <br /> • <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 yott the time you may need. Please return this form once - <br /> completed to the Couneil Administrator before the meeting begins. . <br /> • <br /> Project of Activity Title: Date: <br /> Meeting/Activity Location: •• <br /> Everett City Council meeting 3002 Wetmore Avenue, Everett,Washington,98201 <br /> • <br /> Name(Please Print): Gender: <br /> DMale ❑Female <br /> • <br /> General Ethnic Identification Category (please check one) <br /> OCaucasian OHispanic American ❑American Indian/Alaskan Native <br /> 0African American ❑Asian/Pacific Island 0 Other • <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 ire 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 />