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* APPLICATION F APPOINTMENT 'T CITY <br /> City of VI BOARD/COMMISSION <br /> EliTerms beginning in March <br /> 763.6,33,HIM <br /> X1 <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 Parks and Recreation Commission <br /> Heritage Preservation Commission Planning Commission <br /> _ 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: 11717 Z./ TI/A 0--<'C"—1 <br /> City of Residence: l �i ` y e <br /> Occupation: ° t e-i Q�. ,0e')n t r`.�01 i �etc,v' '�t��Employer:T11 t" yi c-4,,'7� ��" /�'���. � <br /> Statement of Interest:Please state briefly why you are interested in serving on this <br /> board/commission for��6which you are submitting`this application. f d <br /> Ce ✓ /yrr- ',r't. L� .7 rr 61��(��fi�t l" !.�/Zr c d fi i c Y e°rte!d ✓� y' t I Cdr%!_/ v°s 71 yJj r'd <br /> /�c^J� r tYf' fit�'G�i"`��C ��r^ yc�1�"?. c^Af'��s r" 7�6ij a✓}i 4 A°,� 'Teav C;1�Y C�JI.,�?�>olGe,1�i,�7`a�.,,°�.. <br /> dr/r✓'#4/1613_s IGS �7c� i7dI/ Akoi."PP-Aiaat� �3 1+1.3✓„s^✓G✓���. li±r�•'��! T 3� �'✓ �eo <br /> e p-c%r y(r' p,,w-7 ,`v'l �- ► 8 ;'1,4 Kt✓ ' e'�R ' ° t�� ��°s r te° <br /> P <br /> Education/Professional Experience:Describe your educational and professional experience or <br /> skills that qualify you to serve on this board/commission. y / <br /> b fir°L; // '` &— �p�l ” 0 r ! l'7t"/4`7 <br /> � r7 r Ln' <br /> Relevant Personal/Professional Experience:Please describe your professional,civic,or <br /> community partipcipad n,whic may be relevan'in serving on this booard/commission. <br /> t`d,P�XG/',A'°" !vzz e a <br /> v <br /> r <br /> ����/7.� �4` �.:r'1' /J%>s''�'�'t r 5��°�x � � e' i�/`��' i,��" �t"`�f•C`.�,as'/��6~YI 6 ��,�'"�'J 7�.��� l <br /> 1 j2 0' s u' o rye. rye vr�� °, s,'.ti1 P �� 1 c��? c`% ?I � ��p�rp 0 6 7 <br /> j }(/) e.7 e O"p ..r5 P, �!2✓ —4."�e:.wn rvt t o i i..��G:2.j( r°L'�s�7 r�f eJL/ (`,.�'>��{:.' •''7 C <br /> f i P <br /> 4.).° 4yk lK' f / ..f <br /> ,�C/t`' P of/"`' r`t.i.-./Pet,-) <br />