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Idllyof <br /> %NEW <br /> the city that works for you <br /> Advisory Commission Application <br /> Date , / 7•- / ' <br /> General Information <br /> Name I'�N (1 �� 1 �-✓ ��' <br /> Last First M.I. <br /> Address S O 3 )1/° f\). 14)• <br /> City, State ZIP 1f a (n-f-rp,' H l 1 <br /> Phone (1 /,-g'Sr- "O <br /> Home I Business Cell <br /> Email Address h��G \4- ma.1 • C O m <br /> Commission/Task Force <br /> Public Safety Commissiononomic Development Commission <br /> Planning Commission Civil Service Commission <br /> Park, Recreation&Environmental Comm. <br /> Availability (Check all Preferences) / <br /> /After work, early evening Evening, after supper y Early morning <br /> List specific days or times you are not available fVo,,)6' <br /> Personal Information <br /> List any related work/education experience: <br /> ,IAci_ i 'POP-. AO -/Q7 fAM %Xp ", <br /> w+rk At i. isS✓ /iTitS TFfip► 3J9 c c .y,S��,A1—c , 5, <br /> 1 V f l/J l S ft* 1 S., " 4Alt r 1a4ticSVa✓5t / <br /> 1 tn..J Mom , ��SL'I�AiJ T'c1- <br />