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Metropolitan .waSteWa anagernent commission <br /> <br /> :-. :': :-'~ :~ :' .~ :: :':~;':: i: ~: :' i~ i; :~ ~: .i i: .: ;~ :: :: :: :: !i~!!.~:::' .: .:: ::: ":;; ;! :: ': ': i. :': -~ :.iiii :' :: ': :. :i .;: :i .i 'i' i! i~: !: (:i:.~:i~i :! i! ::: i:' i; .;; ;: :i :; ::. ......... !i; ii :' ,! i!. 'i i! !i: !:i~;i:;~i ~::: :! i:: ;i :; :.. i! ~: :: i :: i::'ii il i: <br /> <br /> Application to Serve on the Regional Wastewater System Development <br /> Charge (SDC) Citizens' Advisory Committee <br /> <br />Name email: <br />Home Address Phone <br />Business Ad&ess Phone <br />Occupation Place of Employment <br />Where do you reside? <br />Eugene City Limits Springfield City Limits Urban Growth Boundary <br /> <br />Do .you represent any of the following organizations? <br /> Citizens for Public Accountability Home Builders Association <br /> Chamber of Commerce Neighborhood Association <br /> League of WOmen Voters Other: <br /> <br />1. What experience or qualifications do have that would be useful on a committee? <br /> <br />2. Why are you interested? What contributions do you hope to make? <br /> <br />3. Briefly describe your involvement with other community groups and activities. <br /> <br />4. Are you currently a member of a City or County advisory Committee? Yes No <br />Name of committee <br /> <br />5. Most meetings will be in the evening (after 6 PM), 1-2 times each month from October <br />through March. Are you willing to commit to be at each meeting? __Yes No <br /> <br /> · · ~'"~· .rd. ' <br />Return completed apphcat~on~;~~~3~to: <br />MWMC <br />225 Fifth St. <br />Springfield, OR 97477 <br /> <br /> <br />