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<br />8:= A----- <br /> <br />~ <br />~HlLLS <br /> <br />City Committee Application Form <br />Date / .z//6-jo 6 <br />/ / <br /> <br />Generallnfonnation <br /> <br />Name <br /> <br />(tiN /ltJ 1. ;;r?L.I'/1 Ij) /J7 t! ,/I./.f} <br />Last First <br />/~O '7 T/t/,f!.J//1A/ cJ/},<f J~ <br /># A' 'c'EA./ /.1/ LL )' //) A" ~J//~ <br />Home tb~/- 4>33- 4'71''/1 Work <br />Fax Fax <br />W L'. L 7 c:J,/I/ g .bf/ @ ('/0' /)1 L /1,5/, //6 T <br /> <br />iJ, <br />M.L <br /> <br />Address <br />City, State, ZIP <br /> <br />Phone Numbers <br /> <br />Email Address <br /> <br />Committees <br />If you wish to be considered for more than one committee, please order in nwnber of preferencc4 <br /> <br />Communications Committee (Newsletter) <br />Parks, Trails, & Recreation (PTRC) <br />1 Ecouomic Development Commission <br />Planning Commission <br /> <br />Special Interests <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 /> <br />// Y~/!f(S J3Il/'l/(nIG <br /> <br />S.L!-E /PSd/77e <br /> <br />City Committee Application Form <br /> <br />Page I of2 <br />