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MSy-09-08 09:18 NORTH LAMAR VOC 903 6690117 P.02 <br />~ . ,r . , <br />$UARD/COMMISSXON/COMMxITEE .4PPLICATION <br />The Paris City Council is seeldn.g committcd individuals whv are dcdicatat to Lhe weJl-bezng of tb.e Panis <br />cammuniry wmrve. un iu susacling twarda, c:uu~~us~.iuus, aud cuuuuinvcs. iJa gcncral, it is tlte City <br />Couual's palicy to appoint peasoms to a maximum of two consacutivc M tb,reayear cerras or a given <br />body. )m rddi,tion to tba geaQral quaLifications listed in the ceircificstion brloa, other qualiS,raticrzs.s may L+e <br />mandatad by statute, Ciiy Charter, ordinaace, or resolution. Please cempictc the information raNested <br />belaw and retLun to: City Clerk 150 SE First 5treei/P.O. Box 9037, psLds, Tcxas 75461, <br />Boar ommission/Cammfttee ef Intertst <br />Airpon Advisory Buar-d E] Muaicipa[ Boud Commissioa <br />Suildiag & Standards Cammission <br />Q Civi). 5ervice Commi.ssi.on <br />Ec:uACnoazc D-cvclupmcnt Corporatiun <br />Paris/I.amar County Hoard af Heahb <br />~ Planning & Zaning cammission <br />❑ Fublic z.i.bruxy A,clvi.suxy guixrtl <br />r•ax: E-}„~.i Aadrms: ASO Atso.,, pLb e- 've /a , <br />Certification ilpd Authorfzatiem <br />By signing bWOw. f acmoaledge tMt I ann awaze and agrec to tfic pTohibitions ot tbe City of T?aris Chatter aad ihe taws of thc <br />5tate of Texxs mgwding nepotism arid conflicts of intereat of appoitrtm so Giry bouQs, oommigsians, and commiiroes. ! also <br />ccrtiFy that if appvinted I will atteod at ltsst 75 pcrccnt of 4 regu3ar mosfts and tllill rioe hpve any delirtqucnt rndebtedness <br />to the City darinA pty tpm. I W1dGStaad that the TMmbee of posisFons on a CiVtu bosrd. coMmiNion. or committee is limiteA <br />sad thae i mey riot b6 appointed; howevar, if I em not appoinmd, I ag= ro be plaeod xn a databsse for pos6ble fucurc <br />notifieation of topics of intaesl. I ec*tsfy that thc infoTmation em by ma in this appGc:etioa is tnu and comet and aoy t'i]se <br />ipfarn#tioai or miprpre.entabbn iB agtfieisns Qrauads for diequatifieation. Iautherixe the City c+f Paris sa var* nil <br />information ptovidld fa tW9 ppplication. rn aeeordmce with 5ecdon nf the 1=9 Govemmqit Code, I und~d thm <br />informuian providcd in this 49'ice ' may be ~lab1 p 1i n reqnest- <br />Sigqature ofCandidatG_,. Date: AMti' 9 <br />ciey orFar;s itevrna 08119Ma <br />. UOU'l0"t <br />Q Hiscoric Areserva~on Commission ❑ Traffic COmmisgion <br />❑ Hau.qin.g Authority $oaxd of Commitstsionexs Zaning Board of Adju.smlent <br />Q Main Stroet Advi4ory Bc►ard <br />Plcasc u.ote any special lmowledge, cducacion, or experience you have that is applicable to #he fuaction of <br />thc bourd, wmmissioa, vr aornmftrec dt' interesc (anach additionai pagas i.f nacessary). if appiieabtc, li,st <br />dales of service ea any Ciry boards, commissions, or committees. <br />