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Lhityof <br /> f <br /> ' ` I\EW <br /> 4 °BRTGHPON <br /> the city that works for you <br /> Advisory Commission Application <br /> Date 21Z 70 z <br /> General Information <br /> Name `S 4 N ke r l A.. ( A. <br /> Last First M.I. <br /> Address I-1 g 0 L2,,iier�l d b r. <br /> City, State ZIP I\)e J 1-:3L,+„ , 'i A) SS l 1 z <br /> Phone C,SI-2-2z- 76/9 ‘'z _37( -396q g5t -394 -gi94 <br /> Home Business Cell <br /> Email Address 6 a.,i<e OOS �A Je�y:i • G ors•. <br /> Commission/Task Force <br /> Public Safety Commission 2 Economic Development Commission <br /> Planning Commission .S Civil Service Commission <br /> 1 Park, Recreation & Environmental Comm. <br /> Availability (Check all Preferences) <br /> X. After work, early evening x Evening, after supper Early morning <br /> List specific days or times you are not available <br /> Personal Information <br /> List any related work/education experience: <br /> r 1 1 � <br /> j. Glw. C." c-+or&. ey ni-4C+ic .�..5 L✓ , rL. 4- 1"1i.w.e4p0l.$ (cL..) t'n <br /> :,,.-. . <br /> _ M_ ei,j_4 . s C:vi i 14; ftOI1 ►; • •P cc-, <br /> (2 ,� a.tccmS G•� v G4w4w.Crc :4 .�+ S�re/6S 1.7 aiSo I4.j1.fe (CAse $ <br /> �'�t a!, el a(2e a t,r �4 (.Ls�,e r G a v r t 5 . _. G.... a V.,4 1 :P:[c l-- <br /> Cif l4.-e r vs.f.)e C) ' os ,t e res D(vi-i f, ✓ e t i .I i.n I`"1:,,�„,t Sa fG . <br />