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GPR-09-2008 18:12 From:TOYOTR OF PRRIS 963 784 0808 To:903 785 8519 P,1'1 <br />BOAIiD/COMMISS[ONICOMMITTEE APPL,I.CATION <br />'fhc Paris City Cauncil is seeking committcd individuals wha arc dedicatcd to the well-being of thc AAris <br />community to serve on its standing boards, commissians, and committaes. In Seneral, it is the City <br />Councif's pnlicy to appoint persons W a maximum of two consecutive full thnec-ycar terms on a given <br />body. In addicion w tlx general quslifications listcd in the ceRiticution bolow, othar qualilicacions may be <br />mandutod by scacute, City Chartat, ordinance, or resolution. Nlcasc complete the informatiun requestod <br />below nnd return to: City Clerk. I SU SE First SrrecUP.O, qox 9037, Pnris, Texna 75451. <br />BoArdlCommiuioa/Committee af Iatarest <br />❑ Airport Advisory Baard <br />❑ Huildins & Standurcts Commission <br />❑ Civil Service Commissiun <br />GUGonomic pcvelopment Corporation <br />❑ Hisloric prescrvution Commission <br />❑ Housing Authority 808rd ofComrnissioners <br />❑ Main Stroet Advisory Bontd <br />Informa[ion <br />?lil-/ tel <br />❑ Municipa! Band Commissiun <br />❑ Paris/l.amar Gounty Board uf Heulth <br />❑ Plunning & Laning Commission <br />❑ Public Librnry Advisory Board <br />❑ Trotiic Commission <br />❑ Zoning Boarcl of Adjustmcnt <br />is: 1,9 Z 0 S. t v£R+.t/I F - A4. S_ i rL -7S Y L Z <br />Wvrk Phone: 0 3-?$ w_~ 5 h~4 Home Phone: 9-,13 - 7Js- 0 w Lr <br />Fax: 9p3-7$1- o%*% <br />Gmt~i! Address: c~ .~Cw<~n a}'ao ~~l~i s'. c va. <br />Pleuse note any spr,cial knowledge, education, or experiCnce you have that is opplieable to tha functiun of <br />the board, commission, or comminee of intenest (atrach additional pages if necessnry). If applicable, list <br />datas of scrvicc on eny City bounls, commissions, or committees. <br />- DAtNt~.sRl yClrRf~ i..~ F"roAwtt ~ASt <br />- Nar' e«~~ q,~k 2xA0.,NU - us T'2Z.Aji.I4 i vS 6-~,84 <br />` SEetv£p aFJ rv„r.LR•,,r 1 4 e-4 a. ¢iH:e f;oAA ar, <br />^ jL et <br />a.,ip+ft - Tot'•fii oj PR.ti3 <br />CcrHtication gnd AuthoriaAtion <br />By signing bek,w, I poknowlulge tlwl I am 8wprt und qgroe W the prphibitions of the City ot Parls Chater nnd tlx lews uf lhe <br />Stute of 7exns rcYerping n"otism anp conflick o!'iatOrcst of spppintees to CI(y boordy, rnmmisxionn, snA commiuces. ! nlu, <br />ctRily Ihat if appoiniat 1 will ettmd pi Iaett 75 peroent ai' all rcSular mcetings end shall nol hpve any delinqucn! 4xkbtoQnqtt <br />to tAe Ciq during my tann. 1 undmsiand thaz [he number of positions on n glven Nuord, commission, or committa ie ►imlrcel <br />and tlmt 1 muy npt ba pPpointed; howem, if I um not apppinted. I egrea to de plaoed in u dotpbnYe li.r possible fLwro <br />notificution of Wpits of intaeq. 1 comiry thst thc infommtion gjven by me fn Ihis applicatiun is truo am1 crorra,y wnp uny fulee <br />infarmatiun or inlsreproentptiwn is tyflicknt grouads for diiquoliFication. t quthpriaF thc City of Paris Io verlfy all <br />Infanrmtlon prcrvideQ ;n rhis opplicnuon. in accordpnee with Section 552 of tht Local Gavernment Coda, t unde►sfand chat <br />infomiation provktod in this ap may be ava~ m the piiblic upon royuoFl. <br />Signaturc uPCandidate. y~ g J o g <br />• Unte: <br />. <br />CapAle[afftltewyteYlu t..~.~...:.~~_., . - ~ ^ .f <br />Rcrlaed f16/19lW <br />w UU~119~ <br />