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APR-16-2888 89:22 From:NBRMENT & LANDERS 9037853065 Ta:9837841798 P.2~2
<br />BOARD/COM11!~9ST0~'~C~IVI:MZTTaa AP'~.ICAT~QIY
<br />The Paris City Council is sae>Ging c4m,mitted individuals who are dedicated. to tho wall-being ai•the Paris
<br />community to serve on its standing boards, cam,missians, and committees. [n genet•al, it is the City
<br />Council's policy to appoint ,parsons to a maximum of two consecutive i'ttll three-year terms on a given
<br />body. In addition to th ,,gGntrral qualifications listed in tho certi~tcatiQn below, other quali~tcatians may be
<br />mandated by statute, ~ity Charter, ordinance, ar xesalution, Pleaso complete the inl:ormation rQgttested
<br />below and return ta: City C1erk,150 Slr p'irst StrcctlJ(aA, l3ox 9037, Parts, 'pexaa 754b1..
<br />award/Cammieel+nn/Committee o1P Ynterest
<br />[~ Airport Advisory Board j] Municipal Hand Commission I~G'C~iVed
<br />[~ Building 8c Standards Commission
<br />Civil Service Commission
<br />Q ~canamic l~evelapment Carpararian
<br />(~ Historic Preservation Cam.missian
<br />^ Housing Authority .Board of Cammissianers
<br />~ Mai.n Street Advisory }ward
<br />Candidate lnfarrnatian
<br />Name: 5~ ~-~ M t
<br />~ Parisll,amar County >~aard of k~leaJth
<br />^ Planning & honing Camm,issian '~'. ~~ ~ ~ ~ ~~~
<br />Public ~,ibrary Advisory Hoard City of Paris
<br />Tra~l'Oc Commmissian City Clerk
<br />^ caning 1~oard of Ac~justmetat
<br />Addross: loot tuw,acK St ~ M-ts ~ ~"x
<br />Warlt l:'hone: qo~~ ~~~~a~ home Phone: go3~'11+t +i~~ob~~o
<br />h'ax: ~3-78 ~ .Hot.~~'+ ~-mai.l Address:_ ~; ^-S~ rot~er~~. ~ a.nd.~ct~ ~~
<br />r
<br />Please Hate any special knowledge, education, or experience you. have that is applicable to the ~~unction of
<br />the board, commission, ar committee al' interest (attach additional pages i~f accessary). ,I;i:' applicable, list
<br />dates of service an any City boards, commissions, or. committees,
<br />o too Co
<br />C ~3 ~~.. b"Fl~kr,~ cb+r-Mr st r.o 13 +ae ~ SEwI~'R•~ ~-Yt~.S~!+,9„M+~-.t~ ad Ma ~o ire .
<br />Certification and AuthorixatiAn
<br />~y signing bolow,l acknowledge that I am aware and agroo to the prohibitions of rho City of Paris Charter and the laws at'tha
<br />State' of Toxas rogarding nepotism and conflicts of Intoreat a~F appaintoas to Clty boards, commissions, and cammlttoes, I also
<br />certify that if appaintod l: wlll attend at least 7S percent of all rogulor moorings and shall Hat have any dolinquont indebteditoaa
<br />to the City during my farm. I understand that the number of positiana an a gluon board, commission, or cammltteo la !lmItod
<br />and that !may Hat bo appaintod; hawover, it ! am not appaintod, 1 agree w bo plaeod in a database far passible future
<br />natificatian of topics of intorast, 1 cortify that the information given by ma in this application is truo and correct and any false
<br />information or mlarepresentatian is suff lent grounds for disqualification. 1 autharizo the Ciry of Paris to vorli~+ all
<br />information provided in this appllcatian, In accardanca with Section 552 of the l:acal Qavernment Coda, ! undorstand that
<br />infarmadan pravidod in this application m y bo availabio to the public upon roquost.
<br />Signature of Candidate: .bate: ~ -1 b `n~
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<br />~ntorattG~.Y,.I,N tndo tcd tit:,. /,~ .
<br />~.Anrii~r.pr
<br />City of l~aris Rovi,gd OZ/I9lAg
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