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<br /> APPLICATION FORM
<br /> Name: ( -Z',-to-G,d) ”, ,)'n 6.47_,,_r � ,JJ (J
<br /> Address: ;�to%/ SCc- ! IV tremor,. -2,,, "•y'e2,,p t 'A/n 9 Cal)/
<br /> Phone: (54,;s 5 9- x.9O
<br /> Occupation: � ,�
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<br /> How long have you been an Everett resident? 6 (i( n,-
<br /> Board(s)/Commission(s) of interest: --Cit --/ /- -eel
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<br /> Why do you want to serve on this board/commission? .Q 4/
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<br /> Please provide background, experience, and qualifications that would assist you in
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<br /> List past or present community involveme t: ,a % ,at,/per, J a .nf-. 4,
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