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3 <br /> CITY OF EVERETT <br /> BOARDS AND COMMISSIONS <br /> APPLICATION FORM <br /> Name: V/CT/Z C HA i� R 1 S <br /> Address: 3U/ 7 GUM 6ARn gios +ti <br /> Phone: 4/2 S - 3"-Z 1-/ o G' U/ <br /> Occupation: <br /> How long have you been an Everett resident? !'"o i i y <br /> Board(s)/Commission(s) of interest: p/ VCRE/% r A V'sole y 13 GYM D <br /> Why do you want to serve on this board/commission? <br /> Please provide background, experience, and qualifications that would assist you in <br /> serving on this board/commission: <br /> List past or present community involvement: <br /> Additional information may be attached <br /> grr <br /> Return to: City of Everett,2930 Wetmore Avenue 10th Floor,Everett,WA 98201 <br />