4.5. SR 10-03-2011 - Laserfiche WebLink

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APPLICATION FOR APPOINTMENT TO CITY ADVISORY BOARD/COMMISSION ~~.,,._ ,~, Terms beginning in March Thank you for your interest in serving your community! Please indicate in order of preference on which of the following boards and commissions you are interested in serving with 1 indicating your first choice, 2 your second choice, and 3 your third choice. Energy City Commission _ Heritage Preservation Commission Ice Arena Commission Parks and Recreation Commission _ Planning Commission Utilities Commission All terms are three years and begin on the first day of March. See the specific board and commission description for additional information. APPLICANT INFORMATION Name: i ~. ~ ~i ~~~tyy4 City of ResideCnce: t~- ~ ~ ~ ~4 ~ K Occupation: L. ~ ~ ~ Rera~iG3~S ~~na~ Ct' Employer: ~ ~ ~'~ ~ r d L~ ~t- ~e! S Statement of Interest: Please state briefly why you are interested in serving on this board/commission for which you are submitting this application. ~au~ a~w~.~S ~?[~.~ ~~tr~S~'C~ ik, f~-c ta~s~~v~{~`ay. 0~ ,Q~itFfy® 1 (1L ~f~a~@~ilf_ a~ Ca~SPrvk~ F~~~ ~~.~.~' 1~iel~eve 4~ 04,cir` ., , ~~~u~~ ~~ ~® t~.o~s~~ oar ~t~~~~e-, R ~r~a,~ P1~,~~ ~, ~~.F~ +h;5 ~a~-~ -'x Education/Professional Experience: Describe your educational and professional experience or ~ h ~o ~ S skills that qualify you to serve on this board/commission. ~~~~}ronr~ =~tcl~n~`cra.~i 6 ~ }irQ~~lla l we~.f~~~~~ V ~c~rS ~n c~~c~~r~r~~ `~~iir}~~r. fd~ Wi1.i~C.h l~ t~~ Plic~art~S` a~~ c~rcur~.dS a~"~a(a Relevant Personal/Professional Experience: Please describe your professional, civic, or communi participation, which may be relevant in serving on this board/commission. PqS ~ ~n E~rJ ~h$i~.n,~~~:~~®i Mvru~[r - 'T i~:r~,r~~, V Pops OF (lOlc.btf~ a~~~~ar~c~., P~ris~ ~cc~nc~ c~carttl~- fvpA~ .5c_~.~A{ Daxrr~ lYt~~~gi°.