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APPLICATION PP INTMENT TO CI'T'Y <br /> City of ADVISORY BOARD/COMMISSIO <br /> Terms beginning in arch <br /> g � <br /> 13065 C l,i,mo Ru_k,i,q <br /> ?6:5,6:5:>.1 OW <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 1:1 Parks and Recreation Commission <br /> ❑ Heritage Preservation Commission 51 Planning Commission <br /> Ice Arena Commission El 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: / �� � �� City of Residence: <br /> Occupation: Employer: 01 e-- <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 /> �,�„.IX 10— ��s ���P��� 5����ss <br /> J� <br /> CC <br /> Relevant Experience:Please describe your educational,professional, civic, or community <br /> participation,which may be relevant in serving on this board/commission. <br /> -1 44'e--IJ 1; ` ��,rj J.>.u+1 b e �C:t.@�a°L � "r✓ �»�6.t �.C.��o®.�._ �-�dOf� / da'a+�� '',.... <br /> Attendance:Are�our aware of the importance of regular meeting attendance including the time <br /> commitment involved in reparin for meetings,and do you feel you have the time available to be <br /> an active participant?Wes No <br /> Comments: ,,,���"" <br />