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<br />V.,t ..., "'" <br /> <br />4..,... <br /> <br />... 'V ... .. ow v. '"lr .,. . ... <br /> <br />~...... ....... .. ....,.. <br /> <br />ATTACHMENT D <br /> <br />APPLtCATIONtFORAPP~TMENTTO. N ~:>44i~ <br />~ITIZEN AoVlS.OjRY BOJl.~S AND COMMISSIONS /J-1\j ~;.g <br />I'lsase Prin~ Of Type . Po ~ to <br />Board or Commission L-GU\e, Wl),..k.foY"G~ e4t~er6\"f Ar~,'r-.f4 <br />~~t " ~ sf/It'!? <br /> <br />3;"~1'5~. ~~-, ,oR. 7i~~Ic.fl>S: <br /> <br />Name <br /> <br />Home Address <br /> <br />Do you residl within the Clt~ Omits? Dyes ~o <br />Home T81ephor - 7l' - OSII <br />Occupatitln -BtetS, ~gs 'M~Q.~" ~ . <br />Business Addr8$l · .55 S l. , ;., CO/H <br />Fax Numb4Jr (lhppliceble) . ~a' s- ~C/II <br />How did )'QU learn of this vacancy? 0 Newspaper <br />Other ~r~ Sk~ k. <br /> <br />If yeS, how long? <br />Day ,T elepncne ,gt/ Z ..s 3 J 0 <br />Place of Employment ~~~~ ~"c.e.., "Ir\c.. <br />Eu~~. t1R. '77'10/ .. <br />t../ # <br />&Mail (Jf applicable) ~S~. ~1fe~1C.~. ~ <br />OWard of mouth OMan Dweb Page <br /> <br />1. <br /> <br />SOme ad~ry group positions ,ar. at larve: others represent specffie groups cr areas. Are you applylog for a specific <br />position on this board or c;ommlssion? If so. whidl one? ~" ~~, A~(,z... '.. Iy, <br />{ , . fty ~!::L . <br />0,-,.v 1:::1 V t::/ <br />,Af4 If' 1f;f4/\i'. <br />'" 4(l1:;.~ , <br />\Nhat experienoe. training: and/or qualifications do you h.V8 fo.. this paJ1jc::uJar boaJd or eommi$sic[11 ' ~ (9.9(' ')1. r.. <br /> <br />)~ + Yerm ~'fpe.t",w.<:.~ '\V\ ~ (,Mp\CJ~ ~~c\~-lrd' ~.~ Go ~~"~etS <br />'IV\o.JAQje.r-." , <br /> <br />3. Whet specific contribution co you hope ~o make to the board or commlssion? Wt1y do you want to become a member? <br />~ -Cee.\ 1: c.~ bri~j ~pec.~.C;e- 4(k.h~.. --.v..! ~~~r";eA4~ ~e.\c:t.+eJ ~ ~plo~~ <br />\~~v..~$ ,",~~~~~e.. GO\AM.~<s.:r ~ --..\"0 b",~ ~pe..c,.,.f..,c.. ~~~ ~'^^ <br />t>~eW"' (.O\AM .(; e. s: 40 c.A4 e... ~ ~ (..C) ""'" f ca..r: $.0 v\. . ' <br />4 - BrieflY describe your involvem&nt in rel.vant community groups and adivities. (lack of previous involvement will not <br />necessartlydlsqullify you ftom consideration:)., C,""Y'~"""+\J ,~vo'vd w',~ ~()~~~~ -h> L,r:~~ <br />~or~ e.-flor.,J- bfPC~,^'4t, ~ 4-f"~' ~~. '4 v~ ,,,,,~\v~ '4J,-4(: <br />~...Sp"i~"eU ~~~ ~f CoMo\.~c.... ~Q.v",\ \'~"6\"~ '" ~~s~"..t, <br />~ e-'b4..~~ ~~.,\.\~ ~~. ~ <br />5. Whll community topics related to thi$'bo-ard ~OO~rni$$ion ~~m you? · :k..i . <br />1AJ~1c.~~ce... G~~ J So..S:,c.. 5.\\.,L\-> +rG\.4~'~. ~~ pao fL.... ~ '~ ~ <br />eAM-~~lM.~ ~kL.4-, Wo..'c)tL ~(C)~W". . <br /> <br />2. <br /> <br />",... comP*1#QtII ~ "'.. .~Nn <br /> <br />~_ JV"":9'1M.~~""''' ~..... t <br />......,ca.w_,. ~..~....tCll7...-a <br />