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<br />~ <br />~LS <br /> <br />~ECEj) f'-:;:"--~! <br />. JUN 1 0 2005 I <br />I' rlTY n- '-O'-.N HI' LS I.. <br />' v' ur At-< Cl ,'-- _2 <br /> <br />City Committee Application Form <br />Date ~) -?S -05 <br /> <br />General Information <br /> <br />Name <br /> <br />J~ '\\PI' \r\ v-.c\ \:'B. w: L~ <br />Last First \ <br />_['1 II,., ~V\a~ \\dV\-\ t:\ue <br />A(~ U; \\5 \-\0 551 \'2- <br />Home It,S\-Id:o,qIoO! Work: <br />Fax Fax <br />Ch~03(i9 W\:::,~, CDM <br /> <br />~ <br />M.l <br /> <br />Address <br />City, Slate, ZIP <br />Phone Numbers <br /> <br />~ <br /> <br />Email Address <br /> <br />Committees <br />If you wish to be considered for more than one cGfllll1i.ttee. please order in number of preference. <br /> <br />Communications <br />Parks, TraiL~, & Recreation (PTRC) <br />City Events Task Force <br />City Council <br />-+- Economic Development Commission <br /> <br />Operations & Finance <br />Plaiuring Commission <br />Wcbsite Task Force <br />Election Judge <br /> <br />. <br /> <br />Special Interests <br />As the C...ou.ncil prioritizes lIS goals~ il may create additional/new committees or task forces trom time to time. If you <br />have other specific areas or lOpics ofinteres\ please indicate those interests and we will retain your application for <br />future openings in those areas as new committees .are created.. <br /> <br />Othec Interests <br /> <br />Personalluformaoou <br /> <br />I,ist your work experience. <br /> <br />-l5 S \6. "1,,,\ ~ ''\\ -1-'0\1\ <br />IcnS-._lq~ 'Ie.\'-) dDI>)j~\.lH\ Si, \>;. IX) lh:~~l\'\" <br />\ Cl.1't '7:>':::> -~---\tL5-J~'("\\~ 1 dolCv.I'liLOY\ C:n ~Wl; l (' \O'?-P \' <br />lfil>'3?-S?1S - ~ V\d..'1' \,\- \e I I'\(da-v- ~ \~~) Mart<N-1 ~ \"e. r' <br />\C\'!5'6-qq, '\\-\\eU'lo'{"L'jAfdo.'h ~\~ \",es.ol.O\'\e\ C8) <br />c. c . A ,. . F I J ) Pa <br />lly onumUee pp Icatlon orm gc I of2 <br />IQQ'D-C,\)'\"(8AM- '(e~'e6. . <br />~. \q~ q - 'lCD \) ~d ,.\ ~ 1f'II.e.,.) ~~ {'b\--:P(\ti'\0(\LClM..'\~Jl.. I ~\l \s I <br />S\eC--\o\ ~'<o,\ec.--\-6 <br />