Laserfiche WebLink
• E ERE'r1`�C-yITY COUNCIL .. <br /> • SPEAKERSREQ EST SHEET <br /> • -. NOTE: PLEASE STATE YOUR NAME AND ADDRESS BEFORE YOU BEGIN- <br /> PLEASE <br /> EGINPLEASE PRINT: <br /> • <br /> DATE: 17 piP \s- 1 Jori- . <br /> • <br /> • NAME: LI2 VO G <br /> 11 11 Wj <br /> ADDRESS: I I OS , ;v` ST S . <br /> CITY/STATE: .veArIA- A <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 /> vie f i (i`c r 1 f-� 4till. W1 11 ;pct / <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 yott the time you may need. Please return this form once - <br /> completed to the Conseil 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 /> Name(Please Print): Gender: <br /> ❑Male ❑Female <br /> • <br /> General Ethnic Identification Category (please check one) <br /> ❑Caucasian ❑Hispanic American ❑American Indian/Alaskan Native _ <br /> ❑African American ❑Asian/P acific Island ❑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 CMI 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 />