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<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'!?
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<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$l · .55 S l. , ;., CO/H
<br />Fax Numb4Jr (lhppliceble) . ~a' s- ~C/II
<br />How did )'QU learn of this vacancy? 0 Newspaper
<br />Other ~r~ Sk~ k.
<br />
<br />If yeS, how long?
<br />Day ,T elepncne ,gt/ Z ..s 3 J 0
<br />Place of Employment ~~~~ ~"c.e.., "Ir\c..
<br />Eu~~. t1R. '77'10/ ..
<br />t../ #
<br />&Mail (Jf applicable) ~S~. ~1fe~1C.~. ~
<br />OWard of mouth OMan Dweb Page
<br />
<br />1.
<br />
<br />SOme ad~ry group positions ,ar. at larve: others represent specffie groups cr areas. Are you applylog for a specific
<br />position on this board or c;ommlssion? If so. whidl one? ~" ~~, A~(,z... '.. Iy,
<br />{ , . fty ~!::L .
<br />0,-,.v 1:::1 V t::/
<br />,Af4 If' 1f;f4/\i'.
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<br />\Nhat experienoe. training: and/or qualifications do you h.V8 fo.. this paJ1jc::uJar boaJd or eommi$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". .
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<br />2.
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