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<br />e ~ <br />~~ILLS <br /> <br />CITY APPLICATION FORM <br />ADVISORY COMMITTEE, COMMISSION, TASK FORCE <br /> <br />DA TE ~/~ Hodd yo" ],= of ,,,mcy? ,0, N 5 r~'N ~ <br /> <br />NAME: ~ ^ /-? /~ '7 ~ /c: f7/c <br /> <br />ADDRESS: ~ 3 2-4< /_<</ t? If d /7$ n n q B /vd <br />A,.d.""'A )/ ///5~ /"11,) <br />PHONE: IS bl-h3>~-&&..57(H) d-~~/'-?>;.s-- )n) (W) <br /> <br />-c;/-7??~ 3.?t./ (FAX).J:-bezd)Lek@ (E-Mail) <br />rr e ~/ er.bo;,I-.s,.. LO...-n. <br />ADVISORY COMMITTEES: <br />(If you wish to be considered for more than one committee, please order in number of <br />preference, ) <br /> <br />. <br /> <br />Communications Committee <br /> <br />Operations & Finance <br />Committee <br /> <br />Parks, Trails & Recreation <br />Committee <br /> <br />v// <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 ofthe following or if you share any other <br />specific areas or topics of interest, we will retain your application for future openings in <br />those 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 />. <br /> <br />WORK EXPERIENCE: <br /> <br />-f 6'f' j/?7 ~ <br />, tf7 ~ /~C'h.5 <br /> <br />(';--cial <br /> <br />gar; ,f-/~q <br />c7 <br /> <br />. Y7 ~ /# J",! <br /> <br />c (l vn v-r> <br /> <br />,~:'; ':"~J, 'l <br /> <br />a- n,) r e~ / tP h tt' / VY7 Iff '" ~ j?./ --- ""''''''/, <br />