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BOARDS/COMMISSIONS APPLICATION FOR APPOINTMENT <br />Professional/Community Activities (organizations, clubs, service groups, etc): <br />l'"f 04-‘' (V`4 )1.1 Q /1'1 b.Q.: 67' <br />-Ved-1-yr Q-rs <br />tL5-f- - <br />cc, <br />b (-4,6 -- cys <br />Ce".1\ll't <br />66,4,111-1 ,/ <br />Hobbies/Interests: <br />C iTh <br />j <br />21t5 <br />iA 1,, c evx 6c, 5 K,42 <br />Qualifications as related to this position: <br />Cl <br />t1( <br />vc-j re), c0-Ci c >/eiy CI if <br />k 11-5 IL A )3c, 1(12__-ref' '3 6 y-Qa./ <br />, <br />50,1/-7 <br />f jr-6 3 <br />1 -CCCc ( <br />v\ h (_,Le y7-c <br />'ic, scv <br />, <br />/e2„- y <br />SL/; ifcPC.'",, FICA- 1 iCk .63C7 Cipiakt <br />e / <br />fix ", <br />( <br />ovLAL-- , <br />Other comments/additional information for consideration: <br />1• <br />..00-\.••••• <br />v• ...•••-•• • A <br />e...( y • <br />lAQ r\ <br />r,‘. <br />y'c57,-..-/ <br />3, <br />4-0 r7 5 c-i• tc <br />ItA4- _s- <br />( <br />Applicant's Signature <br />g-47-/Sfr <br />Date <br />8 <br />Note: Upon submission, all information on this form becomes public record. For further clarification regarding this application or <br />more information regarding the boards or commissions, please call (206) 433-1800. <br />