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<br />~ <br /> <br />CITY OF CENTERVILLE <br />APPLICATION FOR APPOINTMENT <br /> <br />fO)!!@!! 0 \!I ~m <br />[ill FEB 0 32008 W <br /> <br />Committee or Commission applying for: <br />NAME: JJicAull1/ Wt;o <br /> <br />STREET ADDRESS: l~r:;f) i-ttlJ1k C; y <br />CITY: ~(II---< _ MN ZIP: q;z; 7%:' <br /> <br /> <br />TELEPHONE Home Work <br />Number of years a Centerville Resident I f1 Y?-- Fax <br />'. , <br /> <br />Are you preselltl)' serving on a City of Centerville Committee or Commission? 1- <br />WhichOne? eDYT Term ~. <br /> <br />Have you served on a City of Centerville Committee or Commission in the past? <br />Which One? rA'ht, rAJ1A.!ld I Term <br />Which One? jJ)~ f p t;J b' Term <br /> <br />What do you have to offer to The City of Centerville Committee or Commission? <br /> <br />~riM1C-G ~rf/{~), fdAACa-fitf11 <br /> <br />l pvvbL\0 c InrS <br /> <br />EXPERIENCE OR EDUCATION THAT WOULD ENHANCE YOUR EFFECTIVENESS <br />AS A COMMITTEE OR COMMISSION MEMBER <br />J (lor t 'ipvvt -en~ {)Yl COlAA'l t; I ~ k At rJw{u{~. <br />jo 0i~e~ tVvOvWL'8r' <br /> <br />SIGNATURE ,lttctdiriMLJO <br /> <br />DATE ~ <br /> <br />Return to: City of Centerville, 1880 Main Street, Centerville, MN 55038 <br /> <br />t..- <br />