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APPLICATION FOR APPOINTMENT TO CITY <br />ctY or I ADVISORY BOARD/COMMISSION <br />L~ ~ ~ Terms beginning in March <br />13065 Orono Parkway <br />',63.635.1000 <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 />Name: _ ..~ ~. mac, / / a ,~., w? Sd 3-- City of Residence: G~ P n r,nR~.~ <br />Occupation: ~~ Employer: <br />Statement of Interest: Please state b~efly why you are interested in serving on the <br />board/commission for which you are submitting this application. <br />R P1PVa nt F.Xperi -G~uC-a#~pfla~r9fe-ggigg^u~a o ~~vr ~ c~iiinlu <br />participation, which may be relevant in serving on this board/commission. <br />/j ,~q <br />cas/ . ~i /~, ~.S[., 4y o o ~. i ei V.cs.~.n ~ .- s . ~~,1 .~..L? ~(~. ~ B t~-~nn~nn ~ ~~v~~f' <br />~~ o . ~ I >`. ti 1o sa~wLnn.,I n ri Lt71rt n= _ o~L G'~ (`Li~ [i1 ~'t r M 1~~7' <br />/~ T ,(~ <br />i1LrYL~.. l6s ~ r'IJWI./4 Q Q - Q r 141 • n,L2D..A (42.C!-'~ 4 1 e..c n.~ . ( Q~ f r .KC~h~ r <br />Attendance: Are your aware of the importance of regular meeting attendance including the time <br />commitment involved in preparing for meetings, and do you feel you have the time available to be <br />an active participant? tid'Yes O No <br />Comments: o~ . e~.~rv. ,,,, .,..( <br />~• <br />i V/ f l ~ / R /t X L9 !\ S'V~Y~_~ Y1 CL-1 ~_ 2M t1_, o ~n /1 s w nt.Q o N.VS Oit s ` n~ ~ ~ <br />.., n - ~ - ~ <br />