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APPLICATION FOR. APPOINTMENT <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />Citizen boards and commissions are critical to the effective functioning of County government. We <br />appreciate your interest in- wishing to serve Kittitas County and ask that you complete this brief . <br />application. If you wish, please feel free to attach a fact sheet or resume to this application. This <br />application form is considered a public document. PLEASE PRINT CLEARLY. <br />BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED: <br />ib <br />a <br />Date: Y' 016 , :(►, cc:,;, i', �on�,n t.; rot.:,i,: ,,�, i.: . <br />Name: ❑ 3 0i P 1 N <br />Business Address: A0 S r a h t Tome Address: �� Re, <br />City State Zip City <br />�-10�51 <br />Zip <br />I' 509 � j O •9 D3 $� Home Phone: d � ylr <br />Br�sts- snr.�:rs Phone: _ <br />`7 <br />Email address:�L Iilc� <br />Ti Auratinn! (Rivh school. name and location of college or university, year graduated, -and degree): <br />Current I±Jtyployment; (job title, employer, employment date, contact, honeL <br />��1��r4�rtii��lTT,i��'r"Z�l:f�tll�rl�a£��=�1!ial�y*Jim _f: F7►.,�'!_I <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIArL PUBLIC RECORDS. <br />M <br />