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2 Q 20 <br /> APPLICATION FOR APPOINTMENT TO CITY <br /> O:y of ADVISORY BOARD/COMMISSION <br /> Elk -- - <br /> Terms beginning in March <br /> RiVer <br /> -ti,,.,, <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 l 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 INFORMATIION <br /> Name: Q(7 J( f U n om' City of Residence: _ e b- - <br /> occupation: '� 1'�f' c1 Employer: Qek rY-A <br /> Statement of Interest: Please state briefly why you ;ire interested in serving on the <br /> board/commission <br /> t�for which you are submitting this a p ication. 1 r <br /> �L,IUIY} 5 to� pko5i `A IM1 ujoc r kync I% e. !n fG � ctwDC�� (�E:t� r4TDVn <br /> [� C.LIt 'S � `� D ( �� 1+�ii �A W 1 ►l l5. V 6,;rUY-L' �II CiJlr �d <br /> 1 t ,Alkilw ��� 11 I � I t bUrCT[dtivh <br /> C.UY1�V'� �v �ul'h 3 <br /> Relevant Experience: Please describe your educational, professional, civic, or community <br /> participation,which may be relevant in serving on this boa d/commission. Y� �� v� Don. <br /> d Pr,r R46M1C F n-e eet,I C unn-�t1 rJn 40M-1 e �" <br /> a, 544 t Ufa E R, A �vM D c oner� � 1[fin h�kc�f��Gt1;�, <br /> pq fr V1 4 �n� S� e r+1l.enri13 61 r (�,Q� >< er <br /> 4 WnrKPd a5 one e �on f hh p <br /> 1LC�rrcr y�i irk c�: chc4lrrn4n 4 ii r2iv1`7` f 7". � Yg �g <br /> ii,U�a � cvas <br /> Attendance: Are your aware of the in brfance 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 />