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®m <br />^ Y <br />,: ^. <br />~ e ^ <br />^s <br />®®^ <br />^® <br />t <br />' y % - ~ APPLICATION FOR APPOINTMENT TO CITY <br />ADVISORY BOARD/COMMISSION <br />L1~1 \~^ <br />Terms beginning in March <br />~ve~ <br />100G5 U~..po 1`uk~va)• ' <br />7[.3.635.1000 ' <br />Thank you for your interest in serving your community! Please indicaee in order of preference on <br />which of the following boards and commissions you are interested in scn ing with 1 indicating your <br />fxtst choice, 2 your second choice, and 3 your third choice. <br />Energy Ciry Conmlission ~ Parks and Recreation Commission ! a_~ ~'^ ~ Y <br />Heritage Preservation Conunission _ Planning Cozlvnission <br />- Ice Arena. Commission Utilities Comzxussion <br />All terms are three years and begin on the first day of March. See the specific board and commission <br />description for additional iztfortnation. <br />APPLICANT )<NFORMATTON <br />Name: ~ 6 n n , 2,. ~c ~ rr~ ~ ~ Z- City of Resid'en`ce: ~ l ~ ~~ ~~~ <br />Occupation• C, ~ l~ ~1 Employer: V Ci~ IIV~ ~~.~ d 1~~ C~.,1, L., e~~~er ;~ t~vrt~. ~~.-1-r; <br />Statement of Interest: Please state briefly ~vhy you are interested in serving on the <br />board/commission for which you a.re subxnittuig this application. <br /> <br />Relevant Experience: ].'lease describe your educational, professional, civic, or community <br />participation, ~ovhich maybe relevant in serving on this board/commissioz~_ <br />Attendance: Are your aware of the importance of regular meeting attendance including the time'. <br />cozzxxnitment involved ir, repaving E'o~: ~a~.eetings, and do you fcCl you have the time available to be <br />an active participa.at? ~1'es ^ No <br />Comments: 1~ ~~C.~~ ~ '~ 5 m.~c? ~y~ ~S - n cl~a.riCe t5o 1 m <br />~.p~~c. ~'~ O:.G~ ~v,,$ ~ `(~`-1 SC.-~eCkv--Q~C. ~ ~v~ '1- ~ ~. ~ ~v~ ~t°_. ~ ~~5 ~ `'r'~c~f C <br />c\~``~s `~~- <br />