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APPLICATION 1 'T TO CITY <br /> City of ADVISORY BOARD/COMMISSIO <br /> M�rTerms beginning any March <br /> 13065 Cho Park iy <br /> 163.635.1000 <br /> Thank you for your interest in serving your communityl 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 — Parks and Recreation Commission <br /> — Heritage Preservation Commission Planning Commission <br /> I Ice Arena Commission 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 � ���1 11W City of Residence:A j 1 <br /> Occupation: 1 Employer: 61 1 S M <br /> Statement of Interest: Please state briefly why you are interested in serving on the <br /> board/commission for w 'c �ou are submitting 's applic n'41,,�- NA- �2- \-W-CfS <br /> Relevant Experience: Please describe your educational,professional, civic, or community <br /> participation,whichh may be tel want in serving on this board/co ssi n. <br /> t <br /> y-� (U�k � : te e°r'F t ` t c�'�b �-c <br /> L-�yv"Av� A& OA(0%� 1\f� P- V" <br /> .Attendance:Are your aware of the importance of regular meeting attendance including the time <br /> commitment involve ' preparing for meetings, and do you feel you have the time available to be <br /> an active participant? AYes CJ No <br /> Comments: -�� GJ�� Wuxi- �� LC"WvINI\l bl'���a�t�' t (}�� .����� <br />