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CITY OF EVERETT <br /> BOARDS AND COMMISSION Jl i <br /> OCT 2 5 2010 <br /> APPLICATION FORM cTy opvEE <br /> Planning; )eot. <br /> Name: c") ok A 2, j � 01Q,4-/1 <br /> Address: R 0 iSoX ev ( ?/?8741 LU i. Q Pmt ► 3 <br /> Phone: coc-.8 3,4ait e E-Mail: n Lz�kede l e 5nimpariSki, orj <br /> Occupation: ;A/1 LL)DIQ +P/L- <br /> How long have you been an Everett resident? 73 y eq R s <br /> Board(s)/Commission(s) of interest: 4 m Nt f V l"etr m,,n /4/-6 .�-�ni o <br /> ku a �jr-F1.6. •� r 1=A;2, l 7 hv41. <br /> Why do you want to serve on this board/commission? -r-e'e ( U�29 eam-k 4- .dl-c s���U), <br /> _t- kifu, <br /> 0)-r i rXiL D LL CL r i d. k u.m n J c'e u r c r_Y et -1-tom 4 h et 4- c' i,. 4J-c. <br /> 1h� ivper (ion- +✓!u t o AL1' ev mr46");V <br /> els AU R-iii -- - f <br /> Please provide background, experience, and qualifications that would assist you in <br /> serving on this board/commission: r ); g6-i0 n 4 CT /. &or ' e/(eiL/o /'�`r ecim <br /> l C 1---, `�r 1 o 5/4'irk (Id e I c Y n t�-1O 1 `' t^u[ 'C t�l (aQ mr. //��� `/B r,Lt-/ W Q( e <br /> e a).114_.1 , o-m ee-/o u ite ti r o jr4.A.A /2-)4'44 Yr44" r -711 <br /> }�=1/ � Ae •c, @ .�..1w/YJ,9fr;Jk <br /> List past or present community involvement: 7e3; /)?4/1y /jug- GUB /<e4 <br /> LC1 t\ Ph cj1OLt®Jj UoluA-1--e1r4 4 DI � ric4 -71.0sP/e (-(i/ /0s1ica <br /> J 1 <br /> dlr���)) 1714 t\ C �Q SJ yo OtAttl-k Qnel 4-44 aci e, cA �� �i`ean,+►:-rte`' <br /> Q i ' 70 c�ir c1 S�X41V(9 / d Sr <br /> Signature <br /> oe <br /> Additional information may be attached 4 b U-' jl'>� <br /> i �i <br /> Date <br />