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CITY OF EVERETT <br /> BOARDS AND COMMISSIONS <br /> APPLICATION FORM <br /> Name: N) 1� 2 L c1. 4 5 G1 <br /> Address: I ( g 9- A`Qc 02 I Z <br /> Phone ICS-1 E-Mail: A ((Le A civ kS d yo)t,k0D ()QC) <br /> Occupation: (P_A-! (' Pow\ 60 E. i n <br /> How long have you been an Everett resident? ear <br /> ? <br /> Board(s)/Commission(s) of interest: A I Sc'c 0,,4 <br /> Why do you want to serve on this board/commission? LL 'N N U 0( A <br /> i�-r f C k Ac n a\ (5 W �A. � <br /> +kat- hE) ad( ,S eert-C <br /> rz rn ("nu< <br /> Please provide background, experience, and qualifications that would assist you in <br /> serving on this board/commission: �� ��� F A)\-- \20 1 co\ <br /> JJ <br /> tear g � sey, Dc eexcke -. t A-617\e k - -c ;APin_ <br /> o-1-\ 6 c �� ro .0 so Art , n v U v e_C( <br /> 54por--71- 5 -c._.p c an d f‘. -Ct e s t <br /> List past or present community involvement: jrj1 <br /> fit?rn�� v -5 ��n oai o e69 f n1� C c i c:�� Q 5 <br /> C r 4C n re r &rtJ 4.441 <br /> �0 `k 1 �'e�,�,�- � J ' <br /> � pc� s <br /> Additional information may be attached. <br /> CL—d),40,7_0/ <br /> Signature a-,(456'1 <br /> 0"20fZ_ <br /> � Date oZCo <br />