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(~wC~ I-(l'~1 <br />APPLICATION FOR APPOINTMENT TO CITY <br />ADVISORY BOARD/COMMISSION <br />`'+j" ~~~+---- Terms beginning in March <br />l~v~x <br />t 3t1(i.5 S )n v~v ~ t'ueku~a+- <br />Tc ;.~33. uxxt <br />Thank you for your interest in serving your community! Please indicate in order of preference on <br />which of the following boards and commissions you are interested in serving with 1 indicating your <br />first choice, 2 your second choice, and 3 your third choice. <br />Energy City Commission <br />Heritage Preservation Commission <br />_ Ice Arena Commission <br />Parks and Recreation Commission <br />_ Planning Commission <br />Utilities Commission <br />All terms are three years and begin on the first day of March. See the specific board and commission <br />description for additional information. <br />APPLICANT INFORMATION <br />Name: / 1 ~ , h~~L ~,l e ~ c.c._, <br />Cit<~ of Residence: ~ ! 1! j~ o ~ ~ /' <br />Occupation: ~l rc. ~ ~ ~i' Employer: , ~ r ~ <br />Statement of Interest: Please state briefly why you are interested in serving on this <br />bo~ /commission for wlu~c~h you//are submitti/n~g this application. !/ ~ <br />C.~ l~,r9 ~~ijS Uc/L i ~ t1 f~/i9r>c7 ft/~ ?~ L ~~ i G. 2~ G .9/YT tG..2/ ~/ <br />i 7 OL. ~ S S [° c~ e° 2" / <br />7` s C~. zn it I ~s~ / / ~~ ~~~ rl' c~ ~ F> ~G 7C~~f' L f1. ~ <br />Education/Professional Experience: Describe your educational and professional experience or <br />skills that qualify you to serve on,this board/com3nissionj. ~ <br />~',~ <br /> <br />Relevant Personal/Professional Experience: Please describe your professional, civic, or <br />community particip ~on, which maybe relevant in serving on this board/commission. <br />~~~ ~..~ ~ <br /> <br />