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cit4 <br /> w <br /> 4.BRIGH1UN <br /> the city that works for you <br /> Advisory Commission Application <br /> Date c 12— <br /> General Information <br /> Name V VIL CI iv in <br /> Last ' First M.I. <br /> Address �✓' /�,V 2 — ( - S-4J <br /> City, State ZIP Iv e t ( iS14" n M N ci ( 2- <br /> Phone (Qs- 1 ' (,P2r (e!-K 940 (/s I <br /> Home l"n Business Cell <br /> Email Address 0 i rt d i/ i<e 1l a- NI Sp)14 or-1 <br /> Commission/Task Force <br /> c-- ?ublic Safety Commission Economic Development Commission <br /> Planning Commission Civil Service Commission <br /> Park, Recreation&Environmental Comm. <br /> Availability (Check all Preferencesi <br /> XAfter work, early evening Evening, after supper Early morning <br /> List specific days or times you are not available <br /> Personal Information <br /> List any related workc/education experience: <br /> �0+y its tri R-POvrceS &)/Pe( 'ice 1 p obi cec-7'z- <br /> e,c p10q&✓S t'& )dino Heit e in Co Arty Sjle-r,1b•S d dice 1'V�t_'T,v�i�+t.�,,► <br /> �, e—,; t- 0�14.eyb� u-r t t=I� ' I>e <br /> G(,� i pot-�� CJ►'►�, t� � Nt � � p." <br /> ��'V W�a4v1 2eso orces tX frn <br /> ri enc� �`.tivI c((?S �C rv� 0 d�se I-lch oA J f tikPJLfe_ <br /> \I e'I/i l• '-i 1 eo i ipt/ri f!u Sri tit 6 Jn C o 341/ C'/' 11 ey-i-7 4-I D•1, . <br />