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t ~ <br />0~~ . <br />E`~.^ <br />i ® ^ <br />~~ <br />FAX N0. 6125742049 Feb. 29 2012 11:24AM P1 <br />APPLICATION FOR APPOINTMENT TO CITY <br />ADYlSORY BOARD/COMMISSION <br />Terms beginning in March <br />11065 U:ono PvJc sy <br />%f 3-635.1000 <br />Thant; 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 scrz ing with 1 indicating your <br />first choice, 2 your second choice, and 3 your thud choice. <br />- Energy Ciry Con'unission ~ Parks and Recreation Commission ~ 0.~ °`" ~ Y <br />Heritage Preserc*at'ton Commission _ Planning Cozzunission <br />_ Ice Arena. Commission _ Utilities Comzxussion <br />1Sll teens are three years and begin. on the first day of Much. See the specific board and commission <br />description for additional information. <br />APPLICANT zNFORMATION <br />Name: ~~ b n n , Z. ~ ~ ~ m ~ ~ Z- City of Residen`ce/: ~- l ~ ~ _~ ~' -~' <br />Occupation: C~ N ~~ Employer: 1c~1~ I~U~ t"'~.~Jl~~ G,,,1~ C e~,~~er.;s I~~~~~~~ <br />Statement of Interest Please state briefly why you are interested in serving on the <br />board/commission for which you a.ee submitting this application. <br />~0.5-C ~ G ~T 0.c~1 win ,~ ~' <br />Relevant Experience: Please describe your educational, professional, civic, or community <br />participation, which maybe relevant in sereing on this board/commission. <br />~~~ 3~4 ~~a~ vin ~ <br />Attendance: Are your aware of the importance of regular meeting attendance including the time <br />commitment involt~cd in reparing Eon: xa~.eetings, aild do you feel you have the time available to be <br />an active participa.at? Yes ^ No <br />Comments: ~~U c~C.`12r1~ ~ 5 <br />_~ <br />S.5 0 1 <br />~.~~. ~p O~G\ ~v,,$ ~ ,rn..,~ SC. P~C~ v-~-C, ~ ~..v~ 't- ~ ~. ~ ~v~ ~,E? ~9 v.G'S ~' ~-! ~ <br />~~lcv„j s ~~ - V U <br />