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APPLICATION FOR APPOINTMENT <br />TO KITTITAS COUNTY BOARDS & COMMISSIONS <br />Citizcn boards and cotnulissions are critical to tlrc effectivc functioning of Courrty government. <br />Wc apprcciats your intcrcst in wishing to serve Kittitas County and ask that you complete this <br />brielapplication. If you wish, please fecl frcc to attach a fact shect or resunte to this application. <br />This application tbnn is considered a public document & is subject to Public Disclosure. <br />PLEASE PRINT CLEARLY, <br />BOARDS OR COVI]VIISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED: <br />I <br />a <br />a <br />List any spccific seat you arc interested in as wcll as thc District you rcside in. <br />DaLe: 121 0 <br />Name <br />Business Addless: 201 W 7th Hornc Adclress: 1572 Robinson Canyon Road <br />PO Box 1 OBB <br />Ellensburo W a 98926 Ellensburq Wa 98926 <br />City Statc zip City Statc zip <br />contact Nurnbcr: 509-925 622 <br />Eurail ad <br />tfmaruff of{AF}rfi!h8?4,'.,".3Hfr9il#e.f6B$;"fifitu?fi8fa ffiiiv.tlrf{rb.tr 5H'duated, <br />and degree) <br />Fulffi eF,tuml'."Jff ttfi nttBIlf faf'.ElSil"tfi'".,fl*'axtrW,$ab:i:lu?Tl'd&gft-), <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFT-ICIAL PUBLIC RECORDS.