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r *111 APPLICATION FOR APPOINTMENT TO CITY <br /> ADVISORY BOARD/COMMISSION <br /> Elk <br /> R1Ve,r Terms beginning in March <br /> -I i 1.I'r 11115 <br /> Thank you for your interest in serving your communiW 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 X 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 /> APPLICA INFORMATION a <br /> Name: �� `� � ` City of Residence_ <br /> O4cupatit,, < 1 5 �`_ Employer: <br /> Statement of Interest: Please state briefly why you are interested in serving on the <br /> board/commission for which you are.sahtniaing this application. <br /> /t d t.rf/J [!1 C� 5 Uri i S-""i't • /)2- � L!✓�'- Gt�1 � <br /> / :,tom i.f r�-✓� +. _^' J � t`, '/146" <br /> Relevant Experience- Please describe your educational,professional, civic,or community <br /> partici a n,which may be relevant in serving on this boarc1jeommission. <br /> j tC-Cf l��fJ <br /> �j <br /> Atteshdance:Are your aware of the importance of regular meeting attendance including the time <br /> comnutrnent involved in p wring fox meetings, and do you feel you have the time available to be <br /> an active participant? es ❑ No <br /> Comments: <br />