HomeMy Public PortalAboutCommission/Committee Application Verification of Voter Status
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Commission/Committee Application
***Please see the reverse side for important legal information before filling out this form.***
I am interested in servicing on: 0 Planning Commission
0 Historic Preservation Ill Other: &it ' p,E- s /3oi4¢.0
Name: M I C N t.Lp-i
Home Address: 1 21 41 q G¢cct‘t tn/oo p c i Teuc-tcff CA.. %C
Mailing Address: satitc
Home Phone:530 - so$ -c s 3ckWork Phone: Fax:
Email Address: M d I t-m.d t_ C.Le Cn t� \r.Au.00 • ca..a
Do you live within the Truckee Town limits?,yes 0 no How long?
Are you a registered voter in Truckee?0 yes Wno
School(s)attended and degree(s)held: G e o o ca&n a-O• A..'.a al) o, N'C 1-+_ s C.VA 00 L.
ATt'c-o-tt ecD L....It=\' Go IIGG= / G/iL t .e-2\Lt_ .Lc\(
Present employer. Ss( P e M e o v c O Position: o L.tJ t_ t
What are your principal areas of interest in our Town government and what experience(s)or special
knowledge can you bring to those areas? .T Ea e v c 6 se-Q-4 Tt+c Co Co STfl u Cr%o 11/4.1
-i et c3 Stnlcta 1988_ Mfr ale Pe¢Th .Sc: itC IN aatQO - Iref/Jen
New eIecr21 cal t o tD emc' ?J C. CI =t-t_ i CAl
What would you hope to accomplish by your participation? To E°,\4 (g Lt a -t n 9..3
EASE 01= O Cc2staiv ct. Tµ tr. NEW (:ot] ts tN T13.�
aICc1/2tc,q.L FItr\
Please feel free to attach any supplemental information that may help the Town Council make its decision.
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Signature Date