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CITY OF EVERETT <br /> BOARDS AND COMMISSIONS <br /> 1 <br /> APPLICATION FORM (2015 - 2018) <br /> a R`{k N k . )N f°R�.\( (li-'Lci) 25` - l r3�4 <br /> Name: Phone: <br /> Address: <br /> 11 06 T�,L1CK1.= R NVE 1=.\l -ERE.- WR g�ZO1 <br /> E-Mail: 0.,eA. hl1nk Occupation: <br /> How long have you been an Everett resident? '� Cyr <br /> Board(s)/Commission(s) of interest: CHIP Loan Review Committee-Alternate to Position <br /> THREE-FORMER CHIP CLIENT <br /> • <br /> Why do you want to serve on this board/commission? <br /> Z l-k AVE E_NICA END <br /> 5 t2.\1 MCI Cni - CA-\1P LA2C. Cnt\IA\\i 7 F l FO•'?-, 7V\E VAST <br /> `- Y CP K- , I LAKE. \-\Et_P klAa PEL?E AIJ'Cl F1\.1.'fl tT Y,E.V1\INC, \ i <br /> TO Ncor.0 VT PT Cl'P\_._71_ 70 CC:T \ \ k \��\\A I\\SE. 3. RE.CE.\N'EC7, <br /> I T t5 V ER-1 CsV.P.7 lPLt%Ca Zd �E b\A T\-\\S CO \\-'C-C .: - . <br /> Please provide background, experience, and qualifications that would assist you in <br /> serving on this board/commission: <br /> I. W Pcp k F,CC\P N.FiA7 CIF k L\At P TVC)SF.�-C . T. WPC) !\ CAD <br /> EX PE ItiI'\f 7- \)J 1.7 t-\ CA\P vv c GCt,P\M . I \i (YF,1,E1), k7 $OEt W13 <br /> TM,. 9L9 `YE1P,V Pry P. D`.k,'r C5 ML•tA . L , . 'PaC)tYC v\ks-Cate <br /> \-fit c-, 1' \M KEEP ME N,E1 G I-VBD ,kkal05 SRFE PcN MAI JTklKan <br /> List past or present community involvement: Z p`‘`k 1\AV Dt_,VEU t\. <br /> C k U \ZCA. P.C_.'C\\l\T\_V__ <br /> Additional information may be att ched. <br /> Amp Signature JAJ-1, <br /> En Date <br /> - .,tr 1 .7 11- <br />