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<br />e <br /> <br />e <br /> <br />. <br />,< <br /> <br />, <br />f <br /> <br />, <br />, <br />~ <br />~ <br /> <br />e <br /> <br />; <br /> <br />~ <br />/]'\~ILLS <br /> <br />CITY APPLICATION FORM <br />ADVISORY COMMITTEE, COMMISSION, TASK FORCE <br /> <br />DATE:3.h I () l. How did you learn of vacancy? A Q.ryz..::. HI:""''$ lJ'Z..w5l'-',:TI~,R. <br /> <br />NAME: '~\.J6H- ~QJ:lOLf.>1 <br /> <br />~\'11 LJw.2 L..A"'z. <br /> <br />~l- LJ.'6'j-7>t '\SI <br /> <br />ADDRESS: <br /> <br />PHONE: <br /> <br />(H) '152-8Lq-,'j'bD (W) <br />h' . Vl(pk.i..o..:> , CD^"" <br />(FAX) If,brJIe..'Q QS.....,~ (E-Mail) <br /> <br />'7~?--92!) -'7/7/' <br /> <br />ADVISORY COMMITTEES: <br />(If you wish to be considered for more than one committee, please order in number of <br />preference,) <br /> <br />Communications Committee <br /> <br />Operations & Finance <br />Committee <br /> <br />Parks, Trails & Recreation <br />Committee <br /> <br />L <br /> <br />Planning Commission <br /> <br />SPECIFIC INTERESTS: <br />(As the Council prioritizes its goals, it may create additional/new committees or task forces <br />from time to time, If you are interested in any of the following or if you share any other <br />specific areas or topics of interest, we will retain your application for future openings in <br />lhose areas as new committees are created,) <br /> <br />_ City Events Task Force <br /> <br />_ Maintenance Facility Task Force <br /> <br />Website Task Force <br /> <br />Other Interests: <br /> <br />(continued) <br /> <br />I:' WORK EXPERIENCE: <br />'Z."",?~Q .....,..tt- S.......'~~~'7..p~-2. D(tn~?~"'i..D:Lc~ $;1..I~'i.., )'7'72 , <br />~~.d tvt'a(l., - MN I l& ,)}.J .b. C g :51>rl--:..S \Q.Q'S, 4 ~~p'&j7.n-~"looJ.J\ <br />\Z "'-'\\10,,- JWUr~<;M6 ;~ \otJJJO\:rt/\Q~~.A Ti"i. QlsI:>UC+'$) <br />