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JUN 15 2017 <br />APPLUCATOOM FOR APPOEMTMENT TO COTY <br />Terms ODe&nom ng on March <br />River <br />I.iiN'ai t lrtww. 1'aekea� <br />"4J.6lS.iiNN7 <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 />F1Ice 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 />APPLICANT INFORMATION <br />Mame: '4 rl fi City of Residence: k � Wei <br />Occupation: i f Employer —4ZJ <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 />I C2 -ye,ed Aese- <br />1nP,-&ve- <br />rS�00 <br />f 1�' l '�' / Gam+ 'j `i'.rc �t � Gr? as. �'c•Y•��,� �S <br />w <br />Relevant Experience: Please describe your educational, professional, civic, or community <br />j_ participatiopn, which may be relevant in serving on this board/commission. �r <br />-4- h f.(w b�/1 i�) � i/ t (j` + yl 6 `t ry��/ Co""ni 4e 0s t j Ctrn �` `i r! ° f'� n4 <br />et, f"e�i/(` n'+1Y�%dlc,-,eAfj-I�/�/q Sct.0 ®we � f�/�c'�e5.j�/� �- Avve- a,�(nc cjC44k 5;vr �, C43" <br />f I5e 1 onwc- <br />rlhk).'� LLX,.4 , ��4 Cel S care )V -'f 4 /Y e[4i'e / , r— <br />Attendance: Are your aware of the importance of regular meeting attendance including the time <br />conunitment involved in repari for meetings, and do you feel you have the time available to be <br />an active participants es LjNo <br />Comments: <br />