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~Ct~C~ r- l ~'[ r <br />J~ APPLICATION FOR APPOINTMENT TO CITY <br />city of ' ADVISORY BOARD/COMMISSION <br />.~.-. <br />Elk. " ~~ Terms be innin in March <br />R1Ver g g <br />13065 oiono Pukway.. <br />7b3.635.1000 <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 /><---~ } <br />Name: ~~j ~'~ I~'~._- City of Residence: ~ ~ ~ ~ ~'(;1<< <br />Occupation: " (~ Employer: ~?U/PtJ ~~ <br />Statement of Interest: Please state briefly why you are interested in serving on the <br />board/commi iqn for which you are submitting this application, <br />L ~ t 1 U ~t.K ~1 ~, f ~~C.Q ~O f 0~n`~E Ui -.~ D N1 i~ ~+Pi( L~1 ~~-- ~ ~...e, td Lf ~ 1/G- <br />i ~+'/ A Z/!!eT /d(fY OI JI .. ) ./ sA ~i. (a Ai J/Y!f! <br />C <br />c,l~i l tL C~ QI~ !~ Gr~YI~L ~ I ' ~. <br />Attendance: Are your aware of the importance of regular meeting attendance including the time <br />commitment involved in eparing fox meetings, and do you feel you have the time available to be <br />an active participant. Yes ^ No <br />l h <br />Comments: ~Q,~,cA~- T~I.C- ~t'VLQ ~j ~,(~ ~ C-f!'iN1"U~tl`~`~1~e~ , <br />V 1 r' I~ <br />c~ver-> <br />r <br />Relevan Experience: Please describe your educational, professional, civic, or community <br />participation, which may be relevant in serving on this board/commission. ~ <br />