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CITY OF EVERETT <br /> BOARDS AND COMMISSIONS <br /> APPLICATION FORM <br /> Name: di <br /> 0/) 5NA <br /> Address: S2 01\1\,e PI a(e, <br /> Phone:" 7-5- 2, 13" "19-44 E-Mail: 1-3.5Rmc @ '-rbf - €i. CO(U\ <br /> Occupation: gt14 C -4.1\ elAG / ' <br /> {� <br /> How long have you been an Everett resident? (kU <br /> Board(s)/Commission(s) of interest: P\(AV1tili,A £0 VW iss-1,5A <br /> Why do you want to serve on this board/commission? 01' 41? C/N ' <br /> .\ <br /> NA4pw/ i4ro6. A011Q4 )4e <br /> Please provide background, experience, and qualifications that would assist you in <br /> serving on this board/commission: e+i 1 yy► ' M ()/1 wriMo, <br /> 1 tkia 1 1 ., La 1 IA i AI 'a I ' AJ 1 I. B 9e `� <br /> • <br /> , CAs\n/Av kflmei "I ‘ I# PI/4 <br /> List past or present community�ninvolvement: G�, 1 I�ry�,1 ,,, eovyytf <br /> S c e G� LCneo 6A,t43Comm. . ,N �l` '��r p(f -� �. Cf1 ore I t P G <br /> I <br /> iVcimi 04-yvv) 4(41\v3, coivvvIA,, <br /> Additional information may be attached. <br /> /��gl <br /> Signature " ° fii) <br /> gn. Date \(rVi 1U1/1/ <br />