Laserfiche WebLink
EVERETT CITY COUNCIL <br /> SPEAKERS REQUEST SHEET <br /> NOTE: PLEASE STATE YOUR NAME AND ADDRESS BEFORE YOU <br /> BEGIN <br /> PLEASE PRINT: <br /> DATE: /0. __ <br /> �i <br /> NAME: <br /> ADDRESS: ,2 2i &z2 4iz <br /> CITY/STATE: it; <br /> (AJZ,it �2A <br /> - <br /> I would like to comment on Agenda item # on today's agenda. You <br /> will be given an opportunity to speak when that item is called. <br /> I wish to speak to the Everett City Council under "Citizens Comments" <br /> rhe ardin a topic that is not on the agenda. Briefly describe� your topic below: <br /> - <br /> 11 <br /> Each citizen is asked to limit comments to 3 minutes. The purpose of this <br /> practice is to allow all citizens a fair opportunity to speak. If you wish to give <br /> a longer presentation, please contact the Council Office at (425) 257-8703, <br /> before you speak, either in writing, or by phone, so that other arrangements <br /> may be made to allow you the time you may need. Please return this form <br /> once completed to the Council Administrator before the meeting begins. <br /> Project of Activity Title Date <br /> Meeting/Activity Location: <br /> Name(Please Print): Gender: <br /> EMale ❑Female <br /> General Ethnic Identification Category (please check one) <br /> ['Caucasian [Hispanic American [American Indian/Alaskan Native <br /> [African American ❑Asian/Pacific Island [Other <br /> Color: National Origin: <br />