Laserfiche WebLink
Special reasons for wishing to serve on the Board or Commission: <br />My house abuts the bowling alley parking lot <br />What advisory panels, Boards/Commissions have you previously served on? <br />City of Ellensburg Design Review Board <br />Clty-of-Ei , <br />County-Wid Waste <br />County Mental Health <br />Ya lind Rive, Wateished Planning <br />Ellens urg-e-ity-Council <br />Please list any training or experience you have that would be beneficial to serving on the Board or <br />Commission:See above; 13 years experience in Land Use Planning <br />Are you available to attegd board meetings during the day or evening M -F? <br />If no, please explain: Yes <br />Please furnish two references who could speak to your qualifications for the desired appointment: <br />Name: Jerry Petite Phone: (H) (w) 509-962-7504 <br />Address: 205 W 5th AVE Suite 105 city: Ellensburg State: WA zip: 98926 <br />• Name: Dan Carlson Phone: (H) (w)509-962-7506 <br />Address: 411 N Ruby ST, Suite 2 city Ellensburg state: WA zip:98926 <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. We will retain your <br />application for 2 years from the date it is r eeived. <br />YOUR SIGNATURE: Date: ' O Z <br />Please return completed form to: Board of Kittitas County <br />Commissioners 205 W.5th, Room 108 <br />Ellensburg, WA 98926 <br />509.962.7508 or bocc@co.kittitas.wa.us <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMNIISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />