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APPLICATION FOR APPOINTMENT TO CITY <br /> City of ADVISORY BOARD/COMMISSION <br /> .�. <br /> y (.l Terms beginning in March <br /> 13Ufi5 <br /> jL<,,.lvr <br /> 753.635.1[700 <br /> Thank you for your interest in serving your community! Please mi dicate 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 Cormission <br /> Heritage Preservation Commission _ Planning Commission <br /> A Ice Arena Commission Utilities Commission <br /> _3l1 terms are three years and begin on the first day of March. See the specific board and comnussion <br /> description for additional information. <br /> APPLICANT INFORMATION <br /> Name: . /7llrr 1� ��:�t'Sc`' 1 City of Residence, <br /> �a <br /> Occupation: 15�.�-.. �J :.z ,�ti.:.�. Employer: �'C% <br /> Lim <br /> Statement of Interest: Please state briefly why you are interested in serving on the <br /> board/commission for which you are submitting this application, <br /> S kp,,- U-If <br /> Ll,. <br /> Relevant Experience:Please describe your educational, professional, civic, or community <br /> participation,which may be relevant in serving on this board/commission. <br /> r <br /> � _ J 7 <br /> �;:;o ice' �I�� <br /> �.�-c-l � (�[ t•l it^�t'4•`a' t�t= � �' 't C':�( ._'.{� ���'l�``Y1�"'--ti.'LLl <br /> r <br /> Attendance: Are your aware of the importance of regular meeting attendance including the time <br /> commitment involved in reparing for meetings, and do you feel you have the time available to be <br /> an active participant? 'es ❑ No <br /> Comments: <br />