HomeMy WebLinkAboutYakima River Access Sub Committee ApplicantsAPPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
CM\dDA DeVCjQNgA1A
Date:
Name:
x
Business Address: 2.2 i �t�V ,J& & W a-_ Home Address:
5,1tPAS dr
City State Zip City State Zip
Business Phone: 5'09 _ - �_3 Home Phone: 60 9- �1
Email address:rbc �y;,�� r 1 ,n
ion,
• High school, name and location of ��lleg,ell or niversity, year graduated, and degree):
1A [let +lUi'+1V4'�r]Fti1S^ L�?R< I-i1A+r1Ars,+.q n�
Current Employment: (job title, employer, employment date, contact, phone):
DEC -4 7.017
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
What advisory panels, Boards/Commissions have you previously served on?
I�iCN1.P�
Please list any
�yt�ai�niiag o'r1 e p ie cc you haveyth t wouldbe beneficial to serving on the ox d'`or
Commissil f °1. 5' P. -r W'10_71 S� a s.i A 1' I— ��� SkZ A& ! )A V --A. IfJli✓r Yr i4,,, ('O e- �,_A H.7
9—Y
Are you available to attend board meetings during the day or evening M -F? N Yes [ ] No
If no, please explain:
Please furnish two references who could speak to your qualifications for the desired appointment:
* Name: i � �C. L.f Phone: (H) [W).
Address: '+5Ag41,\ i i 1[ovi Stree�- City: 45VeAAVr State: \4zip:1872(19
e Name: Poo C\ I'' e_+z Phone: (H) (W) _ (Dg(- 'f61-140
Address: 14 o;MtA AvNmvG -city. yaV'i+mk -State- �2ip:
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners may desire to conduct an interview.
YOUR SIGNATURE: �._ Date: 2D
Please return completed form to: Board of IGttitas County Commissioners
205 W. 5'h, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIFE TO BE CONSIDERED:
• K lfi `/ha, Pi vzr rbc c e )� Co en " - e e
JAN - 2
Date: —/—j — avlg
Name: K/ t e. 7� 0. v e r-
I ,/ /fig good
��((
Business Address:. a I31 ('�i�Ver'bv 170 1 & Home Address: _ Lla j �'t� I�dn�✓Ct tYI�
City ' State Zip City State Zip
Business Phone: 9—��S—�y�'7 Home Phone: SO q- 8*gq --�cyo$
i mail address: <Acti
-- ; w K C ."n6t / 1'. Ca
---
Education: (High school, name and location of college or university, year graduated, and degree):
Fti S 'Zno0
Current Employment: (job title, era layer, employmen date, cunt ct, phone): _
TXaV�-�:,I ti�t?r CQ
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
What advisory panels, Boards/Commissions have you previously served on?
n 60 � r d s or Co -� r►, i ss�'o ,�
Please list any trainin or experience you have that would be beneficial to serving on the Board or
Commission: ,reAV er, 4'e . r Z -o we v
w-v�Aors kuA'4,a,, eke
A
Are you available to attend board meetings during the day or evening M -F?
If no, please explain:
'Yes [ ] No
Please furnish two references who could speak to your qualifications for the desired appointment:
• Name: Zr-/t ev O A Phone: (H)
(MI) sa 9- V 9-�1)q
Address: gwo A'K City: RehA u C�, State: _Zip:
• Name: C (%S5 �_ Phone: (H) (W) S 9,1 J - I 3 I
Address: �13 A, 11%14 Sfi City —11CAS k State: �r A Zip: a CW
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners may desire to conduct an interview.
YOUR SIGNATURE: —VZ7 . Date: — o 0 15
Please return completed form to: Board of Kittitas County Commissioners
205 W. 5th, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feet free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
JAN - 2
Date:
Name:
Business Address: �t"2,k i'�o-v-vb.,�-6w" ILA Home Address: 40 S (
�ilcv.�l�r.►-*� Irk `9IL6
City State Zip
�n tzKy w% IV12(o;
City J State Zip
Business Phone: Home Phone: SO -1 - 819 - 3`1 13
Email address: k%-,
Education: (High school, name and location of college or university, year graduated, and degree):
L+-vt4rr.l tJr.,1ti:,o t.:3. litvu':, c v5* L., toc`I _ i:i •'. f -f ./Ae—L.......y.__ -A
Current Employment: (job title, employer, employment date, contact, phone):
;•c.i� � �.�eluv-4 � itiq I-<-L-y}.s.t�.���' � 'I'L5 S �l
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
1" t'j -s V e cc'"Vm u,41-rrd-
dl Iv z uto A �1 h:1 i3rs., r :4 _J W-5 r.)8 , . v' ,ne 1 V'�% i
V� t� lYC Ls.o
uo nL.k" D DL. of+ 7: 8 ii►• y ti d+t IlC .141, r �s�. w. I A Ntn •J\ � ►tU . t yrr�l� i�rS �•- •/
�� �+_�� ! � —[ ��n � L+'4kY� u �n _ � 1�y+ �c. rL r� Y� V-2. (r 1� l S�1 �•w r irxl,6,_��i�t[ rt�SS [! 4Lv .
r r.v %. DiMw LECA S A t r mi(_.Lu t b._ l)i�.W re .ie., A rc._+l rIj C r: +. e.r 4--4- k& i. d, f b, 4 el
What advisory panels, Boards/Commissions have you previously served on?
17 t,6 T IJP= -h. G�1 t+Vh-LJ �'1i7PLe k,, L f?rh n i jji,d m .
J
Please list any training or experience you have that would be beneficial to serving on the Board or
Commission: V1 scars 1 . ,r. .•oi luui f6l- +U- JV -,i r01_1
�Y.Nl.-7f..tri i�� c� � _ ��r� i.r+�.M1l�� mp.-lex r� dt he ►.a C. t;rnl _.�yt
Are you available to attend board meetings during the day or evening M -F? 14 Yes I I No
If no, please explain:
Please furnish two references who could speak to your qualifications for the desired appointment:
• Name: -T. M v-\ Phone: (H)
tW) ScR• °'1 J1- Itt9Z
Address: Y'141 W urs Clet k _ City: State: LuA Zip: �l
• Name: tc lb µesus Phone: (H) (W)
Address: -;ZZC P-�va-y bus 4* vh g.t City EN kl%a.Lr State: WA Zip: 1111 L6
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners may desire to conduct an interview.
YOUR SIGNATURE: � � Date: /Z JZ01
Please return completed form to: Board of Kittitas County Commissioners
205 W. 5"', Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962,7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
• Yakima River Access Citizen's Advisory Committee
E 21
Date: 12/6/17
Name: Nicole (Nicky) Pasi
Business Address: 11 Q FaSI First ST_ Home Address: 160 M
Cle Elum WA 98929 Thorp WA 98946
City State Zip City State Zip
Business Phone: _509-666-4073 Home Phone: 717-609-2098
Email address: rltcky ps' si(o.LT isgEep WaV OrO
Education:Hi h school, name and location of college or university, year graduated, and degree):
High School'- Boiling Springs HS, Boiling Springs PA, graduated 2UO3
Undergraduate - University of PlitsburgN,English, graduated
Graduate - Florida international University, qvi mentai Studies, graClmate�
Current Employment: (job title, employer, emplo ment date, contact, hone):
Upper YakimaBasinCommunity Coordinator, Mountains to Sound Greenway. Began
emp o men c . up rvi or: Amy Brockhaus, 206-327-173:2
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
As an employee of the Mountains to Sound Greenway Trust as well as a citizen of Kittitas
-Covri !y, i'm very Interested in recreationala ccess wl�f d
put-Insftat�utsandputertiiafly-dangeTowspoturt-t#�rrverisero# ,
buals.rrpat ticipaiWrgwi"fi be abfe-tu-h#lpldurmfy i r
e cistin�rrneed crfi nct-pvtentialiy-b#ng-tlie Gree
�lltittieT�f�t�ta5-cif[tF?t]Y'in�'dtdTrr9�iidt-SafE �GC�'S
What advisory panels, Boards/Commissions have you previously served on?
None for the county, though I have previously served on the KEEN Board of Directors, the
y i tile—
orestAd
Please list any training or experience you have that would be beneficial to serving on the Board or
Commission: Five years experience with interpretive education/signage, extensive experience
developing o I years'
Yakima Basin nte7ated-Plari working on resource management lusues and a current
BGreen ay Trust's tuctmtat-Tecruatlun accessexpertise.
Are you available to attend board meetings during the day or evening M -F?
If no, please explain: _
I✓i Yes I I No
Please furnish two references who could speak to your qualifications for the desired appointment:
Name: Amy Brockhaus _ Phone: (H)
Address: 2701 First Ave #240 city: Seattle
D Name: Paul Jewell
Phone: (H)
(W) 206-327-1732
State: WA Zip:98121
(W) 509-201-6035
Address: 205 W 5th St #108 city _Ellensburg State: WA zip: 98926
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners may desire to conduct an interview.
ILC2�-
YOUR SIGNATURE: Date: IA Z, 7
Please return completed form to: Board of Kittitas County Commissioners
205 W. 5`h, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
JAN
APPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMISSIONS,
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
Yakima River Access Citizens Advisory Committee
Date: January 5, 2018
Name: Judy EI Hallisey
Business Address: Home Address: 380 Landers Lane
Cle Elum WA 98922
City State Zip City State Zip
Business Phone_ Home Phone: 270-792-9188 cell
Email address- hydrojude@gmail.com
Education: (High school, name and location of college or university, year graduated, and degree):
-1�ast��-Af�i�ce-lA4�i�rslaeci--Sci�race,--1;�94��#y�-#da�-
.Ee4CWoes of Sr_ieme,Eole.St-- asouw anagem n , IinivBray-oLuatio
Current Employment: (job title, employer, employment date, contact, phone):
k�eii�861,-E��St-.�arv�l�istriG�l�a�ggrs0>�r�ga#3-NI$llatc'tlee-PJa#a� l�rm
-❑LQWct,SD9-$52 020
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
I have passion for the water resources and knowledge and training of river dynamics. I have
tlt,tu�tara �€r�d-tairairu in erc��iar�ai pr�ces�e.! �m li#e=1� -areas-
-[ong-th� ri►►�,, r-tr t vfn view-andzoua-Urds--and-understand their-aab at seeds aid disturbarare
levels I also 11_ _the-r&er-to-kayak-,My.career-deali.miW!stening tri Clezwaging.—
natural resou s�SQ.l think I bavg s
What advisory panels, Boards/Commissions have you previously served on?
Advisory board to Mountains to Sound Greenway
T'achnicai-cor naittaa tv Mau #airs tv�aurad�rsar�way -
P-ast.PresidentAotar-y-Glub--of.11pperr_t{iUritas Goi ln__ -_tom - - - - - - -
Please list any training or experience you have that would be beneficial to serving on the Board or
��'�@tid��'B11�f[tlae LISDA Earast�-irislusliaositions as-r�istrir lea^-nwrsrarrlental—
�teWardslaip-AAanager,-a�ad-F-vr�t-klydxolc�gi
8 yews with the ldah a-DepartmenW1 ssisiant
2{l Mrs serving as ead hydMjogist nn the National Interagency Bum Arm Emergenny
Are you available to attend board meetings during the day or evening M -F?
If no, please explain: _
lj Yes [ ] No
Please furnish two references who could speak to your qualifications for the desired appointment:
4 Name: Gary Berndt
Address: 100 E 6th Street
• Name: JoAnne Homuth
Phone: (II) 509-674-5593 (W)
City: Cle Elum State: WA Zip: 98922
Phone: " 509-674-3995 (W) 509-852-1032
Address: 902 E 4th St City Cle Elum State: WA Zip: 98922
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners may desire to conduct an interview.
YOUR SIGNAT,PRE: -fit. Date:
Please return completed form to: Board of Kittitas County Commissioners
205 W. 5th, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
PLEASE NOTE: This is a fill•In -arid-print POF form. It cannot be edited. and saved to your hard: drive unless you have the full version
of Adie o? Acrobat. If you are n9l using the full version you must eort►plte this form and then print it, or print it and complete it by hand.
APPLICATION FOR APPOINTMENT
TO IGTTITAS COUNTY BOARDS & COMIMIISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreririte your interest in wishing to serve Kit#itas County and ask that you complete this brief
application. If you wish, please feel -free to attach a fact sheet or resume to this application. This
application form is considered a public document.P-I RA..VE PR1NYfi C1,EARLX
BARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
e
Date: _44--ULL
Name: JaRK S[4'1 J
r
I
Business Address:
Home Address: 02 1() ��,{r1.�,�•
L*City W� QPj� z�
�� State Zip City Slate
Zip
Business Phone:
Home Phone: 591 77
Email address: �7SE— �. L —
Education: (l ligh school,
,I
n� gme and location of college or university, year graduated, and degree):
��IP.rrs�I�r�
Current Employment: (job title, employer, employment date, contact, phone). -
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
What advisory panels, Boards/Commissions have you previously served on?
Please list any training or experience you have that would be beneficial to serving on the Board or
Commission:
vt i �ti r4l W 81r—
Are you available to attend board meetings during the day or evening M -F?
If no, please explain:
[`► ]"Yes [ ] No
Please furnish two references whocouldspeak to your qualifications for the desired appointment:
Name: i�h �=/` �� — Phone: (H) —
Address: City: State:
• Name:Phone: (H)
Address: (' i ry
Zip:
(W)
State: Zip:
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners may desire to conduct an interview.
YOUR SIGNATURE:— Date: 3 � ol
Please return completed form to: Board of Kittitas County Commissioners
205 W. 5"`, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
:e,
Date: �
Name: C-
6, (/a, e lG' _ -
Business Address: e), -J Awl Home Address:
City State Zip City State Zip
Business Phone: //,��cl — P� rZ}} — Home Phone: (!P ,3/,0 — �%�
Email address: CJlIwix, W& ��
Education: (High school, name and location of college or university, year graduated, and degree):
Current Employment: (job title, employer, employment date, contact, phone): �J �/ a �
Z,t.� 111.1 _ %/_r Al A'111vp[� -- DG � 1, ' e �C�J
u75' -9G ��c,3
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
�V ee ix-) 'h'e' 11111Af/1 /e
G
What advisory panels, Boards/Commissions have you previously served on?
Please list any training or experience you have that would be beneficial to serving on the Board or
Commission:_ G��lCc_•� _f�.�J•yr'
Are you available to attend board meetings during the day or evening M -F?
If no, please explain:
[ es. [ 1 No
Please furnish two references who could speak to your qualifications for the desired appointment:
■ Name: /i/ll�irisJ Llt.�rL Phone: (H) ��lF•�1/ (Wj � �- --/7?
Address: El AJ City: State: be� zip:
■ Name: w t7Ci+ ,� ? .� Phone: (H) -1110 (W)
Address: Av City 4.�i State: 4/1 Zip: _OL,7{�
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Co 'on in which you have indicated an interest, the
Board of County Commiss' offe—r in sure to co uct an interview.
YOUR SIGNATURE: Date: //z
Please return completed form to: Board of Kittitas County Commissioners
205 W. 5th, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT
TO K rITITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
Access to the Yakima River
Date: 11/23/17
Name: Mike Milligan
Business Address: 345 Susan Road Home Address: same
Ellensburg WA 98926
City State Zip City
Business Phone: 509 607 0498 Home Phone: same
Email address: milliganmk@gmail.com
State Zip
l"�PiiqWg6h�Qohggme and location of college or university, year graduated, and degree):
Cet lral ashi tem +vers'!y 1973 and 1991
Employment: (job title, employer, employment date, contact, phone):
%OV 2 9 017
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
love seeing the river used by so many different groups. It is a great recreational resource.
,Some f - i ,c�,� arc^,—
safer-sites aid.sites-sprzad-out-sacitizexas-can.-easily-use-aiLzections-of-the-river
What advisory panels, Boards/Commissions have you previously served on?
School Board Member of the Damman School board. (presently)
MMq' jR@bd�u�BT to serving on the Board or
Commission:
Are you available to attend board meetings during the day or evening M -F? 4SNes O No
If no, please explain:
Please furnish two references who could speak to your qualifications for the desired appointment:
a Name: Marsha Smith Phone: (H) 509 929 3269 �W)
Address: Umptanum Road ; Ellensburg State: WA Zip: 98926
■ Name: Corey DeBritz
Address:
Phone: (H) 509 240 2064 (W
_City Ellensburg State: WA
,Zip: 98926
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners m d conduct an interview.
YOUR SIGNATURE: I Date:
Please return completed form to: Board of Kittitas County Commissioners
205 W. 5th, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT 1- h C 27
TO KITTITAS COUNTY BOARDS & COMMISSIONk
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
• Yakima River Access Citizens Advisory Committee
•
Date: 12/19/2017
Name: Joe Rotter
Business Address: PO BOX 186 Home Address: 2600 North Hannah Road
Ellensburg WA 98926
City State Zip
Ellensburg, WA 98926
City State Zip
Business Phone: 509.933.2300 Home Phone: 509.929.1169
Email address: bediQ MdsfiVBhop.com
Education: (High school, name and location of college or university, year graduated, and degree):
-CWU-6a—c "eor ors Degree Geography, Minbr inEnv! ro e a o icy orma ion
Current Emptoy�ment: ((''ob title, employer, employment date contact, phone):
Outfitter at Red s Fly SFiop, part owner, and have worked at Red's since 2006 and guided on
e Yakima since 0 .
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
The river is a very important resource to Kittitas County, and I understand the user base well
along with the i d farImproving access and maximizing opportunities in a re9ponsible-and-
What advisory panels, Boards/Commissions have you previously served on?
None.
Please list any training or experience you have that would be beneficial to serving on the Board or
Commission: Many years of guiding outfitting on the Yakima River from top to bottom.
Are you available to attend board meetings during the day or evening M -F? Yes [ ] No
If no, please explain:
Please furnish two references who could speak to your qualifications for the desired appointment:
Name: Ron Stiffler
Address:
Phone: (H) 425.256.1265 (w)
City: State: Zip:
6 Name: Steve Joyce Phone: (H) 509.929.1803 (w)
Address:
State: Zip:
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners.uy desire to conduct an interview.
YOUR SIGNATURE. Date:�.Z() j
Please return completed form to: Board of Kittitas County Commissioners
205 W. 51h, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
. APPLICATION FOR APPOINTMENT
TO 1UTTTTAS COUNTY BOARDS & COMMISSIONS
Citizen boards And commissions are critical to the affeetive functioning of County government. We
appreciate your interest in wishinS to serve Kittitas County and risk that you complete this brief
appli,catina. If you wish, please feel free to attach a fact sheet or resume to this application. This
applications form is considered a public document. PLEASEPR WT CLR4RLy.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
• Yakima River Access Citizen Adviso1y Comrrtittee
JAN - 9
Date: 1/09/18
Name: _Theo M Leonard. PE
Business Address: 407 5w to fyrA Home Address: 911_ Forest Serviced -4 7
QQ Elum _WA 98922 Clip Ei m WA 98922
city State Zip city state Zip
Business Phone: 09-674-7433 —Home Phone: 509-338-5491
Email address:
Education: (High school, name and location of college or university, year graduated, and degree):
.Hanford Hi -1999
Washingign State Universa B.S. - 2004 _ Civil Enaineerin
-Washingtom State Univ rsi M.S. - 2006 -- Environn el�tai l nuc ii �e_ 3 ir#r _
Current Etmployment: [fob title, employer, employment date, contact, ltltane):
Senior Engineer, Enoom ass Eagineadna and Sures in9,. Jane 2017 contact info above.
PLEASE NOTE: ALL APPLICATIONS SUBMrITED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
Where 1 grew up in Chowe;ah WA there was a creek that went right through the middle of town.
Floating the creek and the ovarall aesthetics€s sgmethin 1 won't tar et. es ecia€i the waY the
creek want through the main City park and then alon the baseball field where € olaod little
lea ue. The Yakima river within owCoun_tv reminds me of a much larger version of the creek I
knew as a kid. I'm passionate about enhancing the usage and creating awareness of the river's
What advisory panels, Boards/Commissions have you previously served on?
Qty of Cle Blum Planning COMMission - Current
.Kittitas County Solar Advisory Committee - Current
Kittitas CGLIntV Water Conservancy Board Alternate - Current
Please list any training or experience you have that would be beneficial to serving on the Board or
Commission: l_ife€gn boater and river floater. Cornmerciai tisl'in experience. Lacal knawled e
of existini access Doints and river characteristics throughout the county. 1o+ yqars civil
e_nlgineer€n experience including planning related to critical areas and Prolect sites adscent to
water bodies. -
Are you available to attend board meetings during the day or evening M F? [✓] Yes [ ] No
If no, please explain:
Please furnish two references who could speak to your qualifications for the desired appointment:
* Name: Marc Kirkpatrick Phone: (H) A25-829-5351 {W} 5D9-C7�}-7433
Address: 407 Swiftwater Blvd
City: Cle Elum State: WA Zip: 98922
• Name: Lucy Phone: (H) (W) 509-674-2262
Address: 119 West First Street City Cle Elum State: WA Zip: 98922
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the BnsrdlCoullnissiun ill which yiru ll:rve indicated fill interest, the
Board of County Commissioners may desire to conduct an interview.
YOUR SIGNATURE:
Please return completed form to: Board of Kittitas County Commissioners
205 W. 51h, Room 108
Ellensburg, WA 95926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
JAN 18
APPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMiSMIONS
Citizen boards and Cilf21f unions are Critical to the effective functioning of County govermnent We
appreciate your int in wishing to serve Kittdas County and ask that you complete this brief
application_ If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document_ PLEASE PRINT CLEARLY.
BOARDS OR COMMLSSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
Yaluna RiverAoms Cw nittee Mubbc lands Advt"y Commithoje
Date: 01-17-2018
Name: Ryan_G-a sman
Business Address: Home Address:
807 Watt Canyon Rd
Thorp WA 98946
city were zip City Sate Zip
Business Phone: Home Phone: 509-607-6962
ii ,F91 i tl 1 5./ !. �J f 111 [!� It
Education: Iigh school, name and location of college or un[versity, year graduated, and degree):
Mountlake 1 er►race High School, Mountlake Terrace WA
SURMe ugffi—mtai h a do-nomics
ur rid Employment: (job title, employer, employment date, cvatatct, phone):
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
t i : t■ i=t- y i i I r i I R i i I i■
Ir
- is r e ' r. t • ■ n r ••■ '■ FR t ♦• t■' '■ • 1'R' R: kf rr is■ ■
*t W.Attmllrt
s - ra - ■ n �■ r R e :a ■• E - r - ■
What advisory panda, Boards/Cornmissions have you previously served on?
Rocky Mountain Elk Foundation, Mule Deer Foundation local committees
Please list any trainisor have ave [hat would be benetk al to servia on the. Board or
Commission; I have Fd+ y rs of retail experience, 20 years of law enforcement experience,
have work a�1ti1-�Y�-w—
as—d0n. Panafmyr- rocix"mm was ng
Are you available to attend Imard meetings during the day or evening M -F? efyes 1 1 No
If no, please explain:
Please furnish two references who could speak to your qualification,, for the desired appointment:
■ Name: Steve WOrI@y _ Phone: (H) (w► 509-962-2033
City:
- — - S1:3tC_ Zip:,
Name: SCOft Mon„ =e plane: (m 509-699-8763 m
Ate:
City
State: Zip:
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commission ay desire to conduct an interview.
YOUR SIGNATURE: Date: /-- / 7 - IS -2
Please neuro completed form to: Board of Kittitas County Commissioners
205 W. 50, Room 108
Ellenslnarg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
• Yakima _River Access Committee
• Teanaway Comrrmuft Forest Advisory Committee JAN
• Public Lands Advisory Council
Date: 1/16/18
Name: ,Jahn F. Schultz
Business Address: 13051 HWY 97 _ _ - Home Address: 13051 HM 97
9
Ellensburg. A989-26 Ellensburg., WA 98926
city Stntc zip City Stare Zip
Business Phone: 509-551-8033 (Cell) Home Phone; 509-964-2001
Education: (High school, name and location of college or university, year graduated, and degre,:
Eau Claire Memorial High School, Eau Claire, Wisconsin - 1975; US Army Ranger School, Ft.
ennrnGeorgia - 9TT; Uiiitary AcaderIny at WeSti Stanford
Urilvergily, Stanford- ICrIS-Ir'i Phyte X1.980; S - Phu in
Current Employment: (job title ernloyer, em ioti,nient date, contact, hone):
Semi -retired and self-employed in Owing and rennovating older sin& and multi -family homes
anti then Keeping thern as rental un s.
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
01KNIM611r. to 011111 ISAMU 116161121OWN WWI AMC Its
11
What advisory panels, Boards/Commissions have you previously served on?
None - I moved to Kittitas County in 2015, and have been focused on getting my retirement
bW
Waw 'd-lik-e-to-stsrt MnTgamettrfng backby-u
'COnse , ' ,
Please list any training or experiencf� you have that would be beneficial to serving on the Board or
Commission: 1) Lifelong student of tlsh, wildlife, hunting, and fishing; 2) Led large & small Army
combat unit ; 3) Forrmid and led many large and small science reSearch projects in the ArMy
and the Dep , -
omrnun" ministry uratears) 16 years].
Are you available to attend board meetings during the day or evening M -F?
If no, please explain:
l✓J Yes [ ] No
Please furnish two references who could speak to your qualifications for the desired appointment:
Name: Mr. Steve Worley Phone: (H) 509-312•-9962 (w) 509-962-2033
Address: 1803 N. Trails Edge Dr. _city: Ellensburg State: WA zip: 98926
Name: Mr. Roper Olson _ Phone: (H) 509-205-9235 (w)
Address: 4410 Angel Lake Ct ci(�? West Richland State: WA zip: 99353
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners may desire to conduct an interview.
YOUR SIGNATURE:
Please return completed
Date- f� 1 &
sioners
iu5 W. -n"-, xoom iuu
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
• •411 8YAG { 1TT��
C]
Date: /
Name: / 1
,.� P -
Business Address:
City State zip
Business Phone:
Home Address: P9i
l� AA W
City State I zip
Home Phone:/
Email address: ri t- �s ' -Ki
Education: (High school, name and location of college or university, year graduated, and degree):
Current Employment: (job title, employer, employment date, contact, phone):
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
What advisory panels, Boards/Commissions have you previously served on?
_ /Vv/�lG
Please list any training or
Commission: P--4LY �
have that would be beneficial to serving on the Board or
Are you available to attend board meetings during the day or evening M -F?
If no, please explain:
Ayes [ ] No
Please furnish two references who could speak to your qualifications for the desired appointment:
• Name: ,_;+' %K CZ40AI _ Phone: (H) 5,V AL(
Address: & 7' C�dIfe:Iff (f�T- City: ,moi State: Zip:
■ Name
sl /=rC YVreJ Phone: (H)
Address: l 7I� ;5.X, fIPS City L State
(W)
" Zip: —T�`�
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners may desire to conduct an interview.
YOUR SIGNATURE:
Please return comp tod form to: Board of Kittitas County Commissioners
205 W. 5tb, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT
TO KITnTAS COUNTY BOARDS & COMMISSIONS
Citi7Gn boards and commissions are critical to the effective functioning of County government, We
apprwiatc your interest in wishing to serve Kittitas County and ask that you complete this brief
application. if you wish, please feel finee to attach a fact sheet or resume to this application. This
application farm is considered a public document. PLEASE PRVff CLEARLE
BOARDS OR COMMMIONS FOR will l YOU WOULD LOX TO BE CONSIDERED:
. �w�li L �-avtd� b'1c�UI`3�'�. VOuu?LtI
OW
11—
Date:
a
Name:
Business Address: Home Address:
city state zip cay state zip
Phone: 4A-4- - 761- x t 9-'Y Home Phone: --5 B 9 - 9 3.3
Email address: �] o +.���ti %� n G�' �"►
(Mgh school, nave and locatiaa of college or uoiverrHy, year gradvsted, and degree):
5 J106 CI m P L+��'�]rs �?
Current Employrneat: (job title, cmpbyer, employment date, contact, phone):
PLEASE NUTS: AL.LUR ApppINTMENT BEGOMED OFFICiAL PUBiD•IC XtECORDs•
COMMISSIONERS
Special reasons for wishing to serve on the Baard or Commission:
What advisory panels,
Boards/Commissions have you previously served ojjn}}?--
lryU-Al$. j4 , Pla)A
Please list any trainingr experience you have that would be henelkial to serving tBoard
or
Commission: 1317 M r�MAU 11.1--
X
��! �'� -C'r� L►� n z �u �� r- i19 ri aJL
Are you available to attend board meetings during the day or evening M F? 14 Yes [ ] No
If no, please explain: _
Please furnish two references who could speak to your gaallikations for the desired appointment:
• Name: bte-e -a
fnJas60-Al ice: M (W)-!'d9-SYI
Address: t3 N , r r►,'n a4e. k City: �'1 f t,z:� i� ��:< slate
Name: , � ,' i � Phone: (M -167 - l � � W)
Address:
City
Your appii ation will be placed with others interested in serving on the son board or commission.
When a vacancy occurs an the Board/Comminion in which you have indicated an interest, the
Board of County Commisaioners may desire to conduct an interview.
.1
YOUR SIGNATURE: - �14 Date: !ao�i�. -d l
Please return completed form to: Board of Kiltitas County Commissi0ners
205 W. e, ROOM 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
• Yakima River Access Citizens Advisou Committee
16
Date: 1/16/18
Name: Scott Nicolai
Business Address: 20J -North Pearl Street _ Home Address: 510 North Mt. Stuart Ave
Ellensburci WA 98926 Ellensburg WA 98926
City State Zip City State Zip
Business Phone: 509 945-3163
Email address: nic$ rQygkgmafish-nsn.gQv
Home Phone:
Education: (High school, name and location of college or university, year graduated, and degree):
Tahoma High School
Central Washington University, BS Biology, 1985 BA Science Education, 1985
The Evergreen State College, MES Environmental Studies, 1993
Current Employment: (job title, employer, employment date, contact, phone):
Habitat Coordinator _
Yakama Nation YKFP
8/5191
Bill Fiander,_509 945-5894
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
Knowledge of Yakima River management, Hydrology, Geomorphology
What advisory panels, Boards/Commissions have you previously served on?
Resource Lands Advisory Committee
Flood Advisory Committee
Please list any training or experience you have that would be beneficial to serving on the Board or
Commission:_ 26 years professional experience in Fish Habitat Management
Are you available to attend board meetings during the day or evening M -F?
If no, please explain:
lrl Yes i 1 No
Please furnish two references who could speak to your qualifications for the desired appointment:
• Name: Karl Lillquist Phone: (H) 509 899-5343
Address: CWU Geography Det_ City: Ellensbu
• Name: Brent Renfrow
Address: 7500 Manastash Rd
State: WA Zip: 98926
Phone: (H) 509 925-4236 t w 509 925-1013
_City Ellensburg State: WA Zip: 98926
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on thebard/Cb mission in which you have indicated an interest, the
Board of County Commissioner ay desk ?tolonduet an interview.
YOUR SIGNATURE: r--��— Date:
Please return completed form to: I Board of Kittitas County Commissioners
205 W. 5th, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
APPLICATION FOR APPOINTMENT
TO KITTITAS COUNTY BOARDS & COMMISSIONS
Citizen boards and commissions are critical to the effective functioning of County government. We
appreciate your interest in wishing to serve Kittitas County and ask that you complete this brief
application. If you wish, please feel free to attach a fact sheet or resume to this application. This
application form is considered a public document. PLEASE PRINT CLEARLY.
BOARDS OR COMMISSIONS FOR WHICH YOU WOULD LIKE TO BE CONSIDERED:
• Yakima River Access Plan
Z9,
Date: 11/28/2017
Name: William R. Meyer
Business Address: 201 N. Pearl Street Home Address:
Ellensburg WA 98926
City State Zip City State Zip
Business Phone: 509-933-2491 Home Phone:
Education: (High school, name and location of college or university, year graduated, and degree):
Stadium High School Graduate, 1981 Tacoma, WA
University of Washington, B.S. Zoology 1987 Seattle, WA
Central Washington University, M -S. Biology 2002 Ellensbu WA
Current Employment: (job title, employer, employment date, contact, phone):
Fish & Wildlife Habitat Biologist, Washinqton State Department of Fish & Wildlife,
1998 -Present; Phone: 509-933-2491 Email: William. Meyer(cD-dfw.wa.gov
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.
Special reasons for wishing to serve on the Board or Commission:
WDFW has interest in expanding and improving public access and outdoor recreation
throughout the State and in Kittitas County. WDFW operates and maintains 7 Yakima River
Public Access sites in Kittitas County, and owns/manages significant lands along the river and
additional sites near the river. WDFW issues Hydraulic Project Approvals for work in and
around water and has expertise in hydraulic issues and access and structural design in riverine
environments. WDFW is artici tin /coilab with Kitt. Co. in the Yakima Basin Integrated Plan.
What advisory panels, Boards/Commissions have you previously served on?
Yakima Basin Integrated Plan Habitat Sub -Committee, alternate representative
Teanaway Community Forest, alternate representative; regular technical advisor
_Worked on Yakima R. access sites: Milepost 8 (grant); Thrall; Teanawaypermit/design/const.
WSDOT 1-90 Sno . Pass East Project Mitigation Development Team representative
WDFW Aquatic Lands Enhancement Account review committee member
Please list any training or experience you have that would be beneficial to serving on the Board or
Commission:_ Hydraulic Project Approval and River Fluvial Process training -20 yrs; Aquatic
Restoration training and implementation of pLojects throughout the Count -15yrs.; Grant
writing and implementation 14 successful rants; of which 2 for Yakima River access sites
Are you available to attend board meetings during the day or evening M -F? (✓ Yes [ ] No
If no, please explain: Only exceptions might be where other meetings conflict
Please furnish two references who could speak to your qualifications for the desired appointment:
• Name: Brent Renfrow Phone: (H) _ ova. 509-925-1025
Address: 201 N. Pearl Street _city: Ellensburg
• Name: Perry Harvester
Phone: (H)
Address: 1701 S. 24th Ave _['i:y Yakima
State: WA Zip: 98926
(W) 509-457-9314
State: WA Zip: 98902
Your application will be placed with others interested in serving on the same board or commission.
When a vacancy occurs on the Board/Commission in which you have indicated an interest, the
Board of County Commissioners may desire to conduct an interview.
YOUR SIGNATURE:
Please return completed form to
Date:
Board of Kittitas County Commissioners
205 W. 5`h, Room 108
Ellensburg, WA 98926
509.962.7508 FAX: 509.962.7679
PLEASE NOTE: ALL APPLICATIONS SUBMITTED TO THE BOARD OF COUNTY
COMMISSIONERS FOR APPOINTMENT BECOME OFFICIAL PUBLIC RECORDS.