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<br />12/05/02 THU 16:15 F~l <br />.,. <br /> <br />FAX L4000 <br /> <br />Ii!I 002 <br /> <br />------ f1~I-i~~- <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />~ <br />~ILLS <br /> <br />City Committee Application Form <br />Date '1;T;JP.L--;J2Z- <br /> <br />General Information <br /> <br />Name <br /> <br />A. <br /> <br />MJ. <br /> <br />Address <br />City, State, ZIP <br />Phone Numbers <br /> <br />Mr)(j(!.!;.p,~) [.1:""L4-~ <br />Last First <br />~37'i2. N-e"j l),..t~ "Rc-l <br />ArJ~ /:J-;Ih. )1 ss/t7 <br />Home {pSI- (0 ], /- 'SO rn 7 Work 7h 3 -,'-\/'1- '/770 <br />Fax Fax 7&3 -.<;)<1- "",/,,07 <br />maJ-esp4.e !>l(~ nv~), .Cffiv\ qru ;. ".(h, . t' ~ ~ {,,::,-J~/,.; <c, -S~O <br />,J;j '. (PS-/ - (p 33--:5&73 <br /> <br />Email Address <br /> <br />Committees <br />If you wish to be considered for more than one committee, please order in number of preference. <br /> <br />Communications <br />Parks, Trails, & Recreation (PTRC) <br />City Events Task Force <br /> <br />Operations & Finance <br /> <br />-X- Planning Commission <br /> <br />Web site Task Force <br /> <br />Snecial Interests <br />As the Council prioritizes its goals, it may create additionaVnew 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 win retain yom application for <br />futme openings in those areas as new conunittees ale created. <br /> <br />Other Interests --JCA If? /7);(Lj s / '5/gx~,L... /0 J1u../ <br />. / / I <br />Personal Information <br /> <br />List yonr work experience. <br />ff~'1------n4,-,~ (frq-ov't ('1n<I\.}rvc.Jr ITh"-- -7:-rI/wf /tfrLA"_</,/J "hdd <br />~ ;., ^ S'(~'~ v ~ <br />)'1 1- I .... . . ;"J,' - . fU ,'It (('. .)yo/d~ <br /> <br />I~I~- l' \;-. ~~v~:!::::S:/:1~r7'EP C~~ <br /> <br />City Committee Application F onn <br /> <br />Page 1 Qf2 <br />