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is <br /> CITY OF EVERETT <br /> BOARDS AND:COMMISSIONS :. <br /> APPLICATION FORM <br /> Name: V 1'c., ¢5 , <br /> Address: X 77 .0 a C-1-0(---- Pt- <br /> Phone: ''2 -93/ 4283 E-Mail: Nw/ne,)Bo,4rzD Z c � �7,•e–;..,z.cc,�c <br /> Occupation: �`o� ,�,o,u:I-- <br /> How long have you been an Everett resident? ) ? 'L41-5 <br /> Board(s)/Commission(s) of interest: -re-t corp r-►; ,� <br /> Why do you want to serve on this board/commission? \r/4,-.1— <br /> \,,j; <br /> n/4, %—y,,, , -7-A:=5 <br /> Please provide background, experience, and qualifications that would assist you in <br /> serving on this board/commission: „,2v <br /> LA"7- \ 4/.,. . ) L.. :-r^ o2 ► .4 • fi 'moi/ -Lv <br /> ee„.0T"r <br /> List past or present community involvement: t'ras.'o43u; / <br /> Po+Z 12-L %/(�. 4 4v-4u,, 4Assoc, ; /"1 tom•6bis4-'-1 . es+/4i 7 SEC <br /> Additional information may be attached. <br /> Signature <br /> Date <br />