Laserfiche WebLink
APPLICATION FOR APPOMMINT <br />TO KrffITAS COUNTY BOARDS & CONEWSSIONS <br />L <br />Citizen boards and commissions are cntical to the effective fimetioning of County government. <br />We appreciate your interest M wishing to servo XittruLs County and ask that you complete this <br />brief application. If <br />You wisk please feel free tD attach a fact sheet or resume to this application. <br />This application 1011nis Considered a public document & is subject to Public Disclosure. <br />PLE-4SEMUNT CLEARLY <br />BOARDS OR C01MMS81ONS FOR WHICH YOU WOULD LIKE TO BE COINSIDMED <br />Floo j <br />-Contrpl Z,one Di trid Adydsofy C-mmam- <br />List MY sPeCific mat you are intarWed in as well as the <br />District you n6j& in <br />.nate; <br />Name: <br />business Address: 12oW.Penns vqrdaAve, SujW262 Hbme Addmss. 40-5 N A Stre A.. <br />PQ 3 -ox -44 <br />-RQ fax 977 <br />BDSJYn. W'A 0941. <br />Rosivn. wA oAqAl <br />caty zip City date Zi <br />Contact I'Turnber- <br />Current Er <br />96rbr - <br />and 16cation of,coft . ge or unixGtadUMhd 19 5- ffirl&Vv d <br />: date, contam one): <br />12 <br />Augdat20,01tchell Long <br />��I k <br />dee <br />a <br />.P <br />P'E 4.SF- NOTE-- ALL APPL]FCATIONS SURMTTEDT.0 THIE BOARD OF CGUNW <br />COMMSSIOVERS FOR APPOINTNE <br />NT BECOME OFFfCIA'L PUBLIC <br />RECORDS. <br />