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Special reasons for wishing to serve on the Board or Commission: <br />Uq <br />o &-p ON i "'q Fe r <br />Sre '-Cu d c i ti re" -a t- ACL e- A9 <br />0 md <br />ducter <br />e se$"'Lge oq <br />j.C10 g Tus#'i6e '&U14 ci e� (u <br />! - fiwre. <br />er <br />coq -. ere ! H: <br />rr <br />a� bG.►��"aa <br />rs""ilfi-►����1� <br />i.Glt i �cr S'e-vz ��'d <br />J-drN CO � <br />n.a tr d ,91n <br />�t, e I a , , � ..Tk s•F c e <br />Cc crj.e.i 1. s ii ce -z 0 bK-, <br />What advisory panels, Boards/Commissions have you previously served on? <br />!'ar � ec.y'ea`�i�� �ovu+�v+.E ssi ort, (}eau f i F�cu.fiv � Cow�.w+.iss•io�r <br />cur-ve4F! a awia a[ f ea(x-Fcuree-covv•• f►�i-�v4e�( eazfc�l <br />. l�zall-d►� _J�.I�r�e�i~�! !]1�a�11�-f•ics 6wrsrdl sid�ce .�6 <br />Please list any traininor experience you have that would be beneficial. to serving on the Board or <br />Commission: ele- Lr Ss4iio Dk Z sec ref ar 6f' IzWX. e - <br />oaf c - r-�--,' LaL i t' '094' f fie f�e- ve . <br />u r! -c rl tr'aek1tw'. Iptvol've Lv , tA lnomofioPL OV CI f rainioLl <br />i Vit -d ! 6r 1 a s a 1Me PA Mt' 6 l- N <br />Are you available to attend board meetings during the day or evening M -F? [ tfVes [ ] No <br />If no, please explain: <br />Please furnish two references who could speak to your qualifications for the desired appointment: <br />• Name: LaSso't& , Ati Phone: (H) Sol ME 30.'u (W) <br />Address: JLL68 [y• kttq holia_ City: StdVk0Lyle State: VJA Zip: �9 � � 7 <br />• Name: TiM B to 55 Phone: (H) 36D 7143794 (W) <br />pp a <br />Address: N1�; vLf'V I L �U b rl Ue City q, _1"li D b� �De _State: � Zip: 58 �T <br />Your application will be placed with others interested in serving on the same board or commission. <br />When a vacancy occurs on the Board/Commission in which you have indicated an interest, the <br />Board of County Commissioners may desire to conduct an interview. <br />YOUR SIGNATURE: Dater /j- r <br />Please return completed form to: Board of Kittitas County Commissioners <br />205 W. 5"', Room 108 <br />Ellensburg, WA 98926 <br />509.962.7508 FAX: 509.962.7679 <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />