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<br /> COMMISSIONS'.ST
<br /> APPLICATION FORM (2016 - 20 19)
<br /> Name: /k�/36- I , ��� '�7 Phone: (J��,'-Jam,,-�.a ,7'
<br /> Address: _* 4_,d--= .52',. v`;� . 2� V e_r%a /Z./ /9 P��Z-5.._
<br /> E-mail: ��e Jac' ey e7r.:L:7f'J m Occupation: t'c.74i%'e ;-',1%.‘/--.".'21- G/1- -
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<br /> How long have you been an Everett resident? d e ,--..�-
<br /> Board(s)/Conxznission(s) of interest: CHIP Lean Review Committee—Position Two -
<br /> Citizen/Former CHIP Client
<br /> Why do you want to serve on this board/commission? ,._.C7%a v . � � a /,c2r)
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<br /> Please provide background, experience, and qualifications that would assist you in
<br /> serving on this board/commission: '/ /
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<br /> List past or present community involvement: .5,,-?,3 - 46©v'c-- ,, /57:7-5't.4'/2 A2DF.-7 - J �rr� ,-- - 2. p ,22,--1 .e- / ;
<br /> Zit& fie ,-Z .2 e 7 c/- ",2 62,1/..._._.i „
<br /> Additional information may be attached.
<br /> 46.77, Signature -.I,. G�-��.�._�
<br /> Date / 1f Z
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