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<br />. <br /> <br />. <br /> <br />, <br />. <br /> <br />, <br />, <br />! <br /> <br />. <br />, <br /> <br />~ <br /> <br />. <br /> <br />,. <br /> <br />~ <br />~~HILLS <br /> <br />CITY APPLICATION FORM <br />ADVISORY COMMITTEE, COMMISSION, TASK FORCE <br /> <br />DATE:3.h/D2. HowdidyouJeamofvacancy? Afl..T)'Z';; Hl~'S /J"z-WS l"'-mrt <br /> <br />NAME: ~ \J 6 H f;\2J1DLf..'-/ <br /> <br />~\'11 LAt:i- L-Al--'l'7_ <br /> <br />65[- 4'bi-~\~1 <br /> <br />ADDRESS: <br /> <br />PHONE: <br /> <br />(H) '152-82Cfi'1bU (W) <br /> <br />I' . Yl(P~0" CD~-\ <br />(FAX) ht}t;kbrJI~G QSu,*, (E-Mail) <br />() <br /> <br />95'?--B'2!j -7/7 i ' <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 intercsted 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 />those areas as new committees are created.) <br /> <br />_ City Events Task Force <br /> <br />_ Maintenance Facility Task Force <br /> <br />Web site Task Force <br /> <br />Other Interests: <br /> <br />(continued) <br /> <br />'l" WORK EXPERIENCE: <br />cz.~pl.,,-oeQ L.0,\t.. S",,'~ ~\--J'7_p~~ DI'cnT<>?":I<Z..D:Cc<;, S"1,j~'L- 1992 , <br />~~d 1'v\(1;<l. ~ MN ,L0r,)t-J.tJ. (95J>rl-?--$~,4 S"PP"~_~"-l-J~l <br />\'2. ""',\\'o,~ M.:>0JS;~:,Qe6 ;0 \cA~J(H~/\Q~~.A ~I.'i'i~ ~~0b\-'$) <br />