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4.5. SR 10-03-2011
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4.5. SR 10-03-2011
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9/30/2011 10:24:47 AM
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SR
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10/3/2011
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~cvci f~1~~C~i <br />APPLICATION FOR APPOINTMENT TO CITY <br />ADVISORY BOARD/COMMISSION <br />''"`i' `'°°~~ Terms beginning in March <br />River <br />'[.tL 1i.IIYN~ <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 y ears and begin on the first day of March. See the specific board and commission <br />description for additional information. <br />APPLICANT INFORMATION <br />Name: Cv ~v` • r ~.w. City of Residence: aw. ~_ <br />Occupation: ~ i ~`t tt~vr Employer: Ll C- 2~~ ~ ~ <br />Statement of Interest: Please state briefly why you are interested in serving on the <br />board/commission for which you are submitting this application. <br />'f ~ Co~•~; ~,.K.. ~-e.. ~asr4; v~c. ~e..1~w.s I~:,,~ s •~ ( -fie ~ ~ 5 ~ C-- ' ~. ~- <br />Relevant Experience: Please describe your educational, professional, civic, or community <br />participation, which may be relevant in serving on this board/commission. <br />~~~iv~~s~~ree~ar ~ ~`~.. t~"S~ ~tRiv- ~r•yolve~ ,.-~- ~ 1Lti, Q~ 10~"Yd j <br />Attendance: Are your aware of the importance of regular meeting attendance including the time <br />commitment involved in aring for meetings, and do you feel you have the time available to be <br />an active participant? es O No <br />Comments: <br />
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