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CITY lOF EVERETT r <br /> • <br /> BOARDS AND COMMISSIONS. <br /> APPLICATION FORM <br /> Name: �'1C r y 1) I,-€r1 <br /> Address: 2-3 3 Ees <br /> Phone: 2-0660( $2°2 E-Mail: Car.c ,/I<c , c;J yc..1moo, eo�� <br /> Occupation: kej,,,_1�.}-os- it'Ic.hcjer A'1 T <br /> How long have you been an Everett resident? <br /> Board(s)/Commission(s) of interest: <br /> Why do you want to serve on this board/commission? ff s «f <br /> et Cork ' .Lr ct Ir�r tA)/t �-E. po.t-ks q-kc <br /> ceo d -i y r1 e-cc) s44r0,3 <br /> Please provide background, experience, and qualifications that would assist you in <br /> serving on this board/commission: <br /> ti (mission: 5'f-rovt �ow1w 4ir ►Cc i c., C u� e S r re. 4" <br /> /�:re• ��10�1e�� PI IS"�or -r— 11 ij, Ckovnsvrn5��s cc-id frabt?w. <br /> 7 1 <br /> List past or present community <br /> involvement: e L L r k Pcc r k ? �er 1- }�0 ►.� % <br /> Fv-c r'e,`E` / /1rue? 1 V:TR.O-IrC j �W'.L, hi h 5/1 `I Cl r 1181��ra'+"; S <br /> pr� �j- j� r .. <br /> Additional information may be attached. <br /> Pr7CE'l <br /> Signature �Jj <br /> PotaiPt <br /> Date <br />