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4+`CISUOIS _)O ihF <br />APPLICATION FOR APPOINTMENT <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />[ITf IIAI ('.011hi\' <br />Citizen boards and commissions are critical to the effective functioning of County government. <br />We appreciate your interest in wishing to serve Kittitas County and ask that you complete this <br />brief application. If you wish, please feel free to attach a fact sheet or resume to this application. <br />This application form is considered a public document & is subject to Public Disclosure. <br />PLEASE PRINT CLEARLY. <br />BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED: <br />• Flood Advisory Committee (District 2) <br />List any specific seat you are interested in as well as the District you reside in. <br />Date: 11/2/2018 <br />Name: Jeremy Clark <br />Business Address: PO Box 1053 Home Address: 2081 Westside Road <br />Cle Elum WA 98922 Cie Elum WA 98922 <br />City State Zip City State Zip <br />Contact Number: 206-949-9842 <br />Email address:] clark5-peciasus-global com <br />Education: (High school, name and location of <br />Current Employment: (job title, employer, <br />or university, year graduated, and degree): <br />date, contact, <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />