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� <br />/ <br />Date ;�-,� <--%� <br />General Information <br />���� �� <br />Name � � .�-//7G'c.� ���5/ ��r� i%' �! <br />Last First M.I. <br />� <br />Address <br />City, State, ZIP <br />Phone Numbers <br />Email Address <br />�P� ��� -/i�';-�-s ��i��' � v �� d <br />Home_ <br />Fax <br />��� <br />�S�HILLS <br />� Warks <br />Fax 1�;�/ <br />�' fys�'t� !� /-'or-i, �•�v i - E' � �� <br />. <br />Committees <br />tf you wish to be considered for more than one committee, please acder in number of preference_ <br />. / <br />� <br />City Commission/Committee Application Form <br />Communications Committee (Newsletter) <br />Parks, Trails, & Recreation (PTRC) <br />Economic Development Ccmmission (EDC) <br />�� Planning i;ommission <br />Financial Planning and Analysis C'ommittee (FPAC) <br />Special Interests <br />As tt�e Council prioritizes its goals, it may create additional/new committees or tas[c forces from time to time. If you <br />have other specific areas or topics of interest please indicate those interests and we will retain your application for <br />future openings in those areas as new commitEees are created. <br />� <br />Other Interests G,g �c> v.�� �" _...# �,� ;T� .� ,� �� �� F <br />Personal Information <br />List your work experience. <br />p / � <br />/�/�9/S «�//rt3wi ff%.t.�� % �.C/G _ ✓v,�� 9 �"`� .c�� � s-�i p�-.-- ��, .� �--,o � <br />�y - , �i/ /- ,. <br />�.� ._ _ <br />.G�IYurL'Jiu �IJ�R9. �-G ��ka�i�6% •". /r - /���Qll�i /C�c%LG-i�ii iGx� <br />'� C <br />�_c�lnr!-9 -C�Y.�i ._ ��,q� r <br />� <br />City Committee Apptication Form Page 1 of 2 <br />