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APPLICATION FOR APPOINTMENT <br />TO ICITTITAS COUNTY BOARDS & COMMISSIONS <br />I tYAS YY <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 <br />#7r It = Mr • I I <br />List any specific seat you are interested in as well as the District you reside in. <br />Business Address: PO BOX 1472 Home Address: 80 COralbell Ln <br />Ronald WA 98940 <br />City State Zip <br />Contact Number: 20&5-0790 J_ <br />Roslyn WA 98941 <br />City State Zip <br />Education: (Hi�►t school, name and location of colleg¢e or university, year graduated, and degree): <br />Sumner High School, Sumner, WA, 1994 High Sce ool Diploma <br />Current Employment: (,ob title emplo er, emplo ment date contact, hone): <br />Owner, Vacation Rental 365, 2�110 - Prresent, 2tY�-335-079a, Derek&myvr365.com. Owner, <br />lily LLU. 1897' PM , . <br />PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br />COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />