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Special reasons for wishing to serve on the Board or Commission: <br />1" t'j -s V e cc'"Vm u,41-rrd- <br />dl Iv z uto A �1 h:1 i3rs., r :4 _J W-5 r.)8 , . v' ,ne 1 V'�% i <br />V� t� lYC Ls.o <br />uo nL.k" D DL. of+ 7: 8 ii►• y ti d+t IlC .141, r �s�. w. I A Ntn •J\ � ►tU . t yrr�l� i�rS �•- •/ <br />�� �+_�� ! � —[ ��n � L+'4kY� u �n _ � 1�y+ �c. rL r� Y� V-2. (r 1� l S�1 �•w r irxl,6,_��i�t[ rt�SS [! 4Lv . <br />r r.v %. DiMw LECA S A t r mi(_.Lu t b._ l)i�.W re .ie., A rc._+l rIj C r: +. e.r 4--4- k& i. d, f b, 4 el <br />What advisory panels, Boards/Commissions have you previously served on? <br />17 t,6 T IJP= -h. G�1 t+Vh-LJ �'1i7PLe k,, L f?rh n i jji,d m . <br />J <br />Please list any training or experience you have that would be beneficial to serving on the Board or <br />Commission: V1 scars 1 . ,r. .•oi luui f6l- +U- JV -,i r01_1 <br />�Y.Nl.-7f..tri i�� c� � _ ��r� i.r+�.M1l�� mp.-lex r� dt he ►.a C. t;rnl _.�yt <br />Are you available to attend board meetings during the day or evening M -F? 14 Yes I I No <br />If no, please explain: <br />Please furnish two references who could speak to your qualifications for the desired appointment: <br />• Name: -T. M v-\ Phone: (H) <br />tW) ScR• °'1 J1- Itt9Z <br />Address: Y'141 W urs Clet k _ City: State: LuA Zip: �l <br />• Name: tc lb µesus Phone: (H) (W) <br />Address: -;ZZC P-�va-y bus 4* vh g.t City EN kl%a.Lr State: WA Zip: 1111 L6 <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: � � Date: /Z JZ01 <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 />