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<br />, <br /> <br />e <br /> <br />e <br /> <br />. <br /> <br />~ <br />~~HILLS <br /> <br /> <br />. ~.{ 2 1 2002 <br /> <br />City Committee Application Form <br />Date J - ;}. 3 - .;U)(5;;'" <br /> <br />General Information <br /> <br />Name <br /> <br />/30 fl (; <br />Last <br />/'is/;J- vl'J/Y'eT <br />'fr/{06/'1'~~?5< <br />Home &5/ /5-/ '/073 <br />Fax <br />/1J UI uJ. <br /> <br />H- <br />M.L <br /> <br />.J ff/VI e 5 <br />First <br />CD"';/{ I <br />MN '7cJ// 'd- <br />Work C,:>/ t '3 f 0(; S;;;L <br />Fax ~? / V:5 '1 / ~ Y 7 <br />@ TIANO, Co/1\' <br /> <br />Address <br /> <br />City, State, ZIP <br /> <br />Phone Numbers <br /> <br />Email Address <br /> <br /><; /,q L. /!3. Y L..,-;)f( IE <br /> <br />Committees <br />If you wish to be considered for more than one committee, please order in number of preference, <br /> <br />Commullications <br />Parks, Trails, & Recreation (PTRC) <br />City Events Task Force <br /> <br />Operations & Finance <br />Planning Commission <br />Website Task Force <br /> <br />-'X <br /> <br />Special Interests <br /> <br />As the Council prioritizes its goals, it may create additional/new committees or task 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 committees are created. <br /> <br />Other Interests <br /> <br />Personal Information <br /> <br />List your work experience. <br />TflO,F fP/'oIO;':;'N I T:NslAf<.()NC.h <br /> <br />IJ/hc./'IT <br /> <br />(,.c:..c,o TO fJ/(G56W/ <br /> <br />City Committee Application Form <br /> <br />Page I of2 <br />