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01/10/2011 12:36 ?6342?0533 E H RENNER & SONS IN PAGE 02/02 <br />rcvd 1 ~ ~ ~~ ~ ! <br />APPLICATION FOR APPOINTMENT TO CITY <br />ADVISORY BOARDICOMMISS[ON <br />Terms beginning in March <br />':a~ r.J!. nvm . . <br />' Thank you £ox youz in.tezest in servitag your conn:muc~ityl Please indicate in order of preference on <br />~vhich of the following boards attd coznz:nissions 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 Conur~ission, <br />Ice .'lrena Commission <br />Pazks and lZecteation Conami.ssion <br />Planning Con~unission <br />Utilities Commission <br />r,~11, terms are three years and begin on the first day of March. See the specific board and commission <br />description for ad.dltional information. <br />APPLICANT _iN_F_ORMATION <br />Name: <br />Ci,ry of : ~ <br />Occupation: ` Employer: ~ ~.In~ <br /> <br />$ducadon/Pcofessional Expezaenee: Describe your educations] and professional experience or <br />sl-' s at 9ualify you to s - eon this oard/co "s 'on. <br />~ e <br />1 (,Il, ~ <br />~~~ <br />~ \ 1~ <br />Q ~ <br />Relevanc )Personal/Professional Experience: Please describe your professional, civic, or <br />community participation, which maybe releva t ' sezvin on this bo d/c 'ssion. <br />Q ~(.l <br />o'~r~nxch ors. ~~; ~~Vi~c~ m;~1rt,`f h~ <br />~o~,~ ~ ~Yral~,no~ ~ ~. c~r~mu,r+`i <br />J <br />o~e~-~ <br />Statement of Interest: Please state briefly why you arc interested in serving on this <br />