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10.1. SR 02-02-2015
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10.1. SR 02-02-2015
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2/3/2015 9:40:41 AM
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SR
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2/2/2015
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t`( v CQ t <br /> APPLICATION FOR APPOINTMENT TO 0TY <br /> Oty of ADVISORY BOARD/COMMISSION <br /> Elk ...+ <br /> R .�� Terms beginning in March <br /> "n.6.c,15.liwnl <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 IN Planning Commission <br /> ❑ Ice Arena Comn-dssion ❑ 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 /> / <br /> Name: L7 AAAZ— T City of Residence: <br /> �1 V ER V <br /> Occupation: OP6AA o-/S Employer: 61 7,6 PA C EL- � <br /> 2 V165- <br /> T <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 /> CfO /KM v.L,rrY 1-1,4 Vr- R vE5-��� l w� ✓z 'ST / 7�5'6� PZ 1 A,-( fq k'-� <br /> D EvEc�PM1E'trr v F a�,� G t 7"}! <br /> Relevant Experience: Please describe your educational, professional,civic,or community <br /> participation,which may be relevant in serving on this board/commission. <br /> 9/v6/t rY�, COvA/C/L EC67 Wfl.ed 1 <br /> ';Z6 tJS <br /> Attendance: Are your 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?Ia.J es FNo <br /> Comments: <br />
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