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Special reasons for wishing to serve on the Board or Commission: <br /> CA V.10 -a b '_yDy!nq <br /> Lk Cl k24 ('Ov. <br /> knP14'VkU- <br /> \ -0 56"Cl' �eA KU ( ES <br /> What advisory panels,Boards/Commissions have you previously served on? <br /> -V 711 4 i 5 ej "0 Cljr- '� e , 4 <br /> nA rl If,() I I r Y Ir-0 JILI '�yl I., Viry-.516 P14 6�p- +ll,- Le ir L(f4 V1 <br /> n i()V­t -79-1c h- %J <br /> Please list any training or experience you have that Id be beneficial to serving on the Board or <br /> Commission;_-UH11,01A 14Y44 iV610.,� twocochLu cliv, <br /> Are you available to attend board mcc(ings during the day or evening M-F? <br /> If no. please explain: Le - - . �� I V . � I e-\ 44M (A _'Y'L►-. <br /> ct f.1 U. f I <br /> Please furnish two references who could speak to your qualifications for the desired appointment: <br /> * Name: NA(_Mao'e phone: (11) 2nL-_zt(fqW) <br /> Address: WY 01(tAWtt Q-rV,5R .CcxrN -City: State: Zip:_ <br /> * Name: tioej ' Phone: <br /> Address: Y010-AC I VtAQf-Y l k _f2MCily -State: Zip: <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 received. <br /> YOUR SIGNATURE: &A (A114 I Date: 1-2-5-Z(P-2_V <br /> Please return completed form Board of Kittitas County <br /> Commissioners 205 W.5th,Room 108 <br /> Ellensburg,WA 98926 <br /> 509.962.7508 or boccAco.kittitas.wa.us <br /> PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY <br /> COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS. <br />