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MRy-01-2008(THU) 13:55 CENTURy 21 EHECUTIUE RERLITy (FAX)9037847185 P.001/001 <br />SOAPjD/C01vnv[iSSr.ONICO1vIlV1[TTEE A,PPLICATrQrr <br />The Paris City Council is seeking eommitted individuals who arc deciicdted to the well-being of the Ptuis <br />community ;la serve on its staading boards, commissians, and committees. In gcncral, it is the City <br />Cou.ncil's policy to apgoint persons to a maximum af two cansecutivc full three-yoar terms an a given <br />body. In additinn ta the general quaUcatians listed in the certification belaw, other qualiffcations may be <br />mandated by statute, City Charter, ordinauce, or resqluhon. Plcasc complete the information requcsted <br />below and relurn to: City C1erk, 150 SE First StreetJP.O, Hox 9037, Paris, Texas 75461, <br />Board/CoirtmissionlCommittee of Intcrest <br />❑ Airpart Advisory Baard <br />~ Building &c Standards Commission <br />❑ Civil Service Commission <br />17 Ecanomic Dcvelopment Cdrporation <br />❑ Historic Preservation Cammission <br />~ Housmg Authonty 8oard of Cammussianers <br />❑ Main Sircet Advisory BQard <br />❑ Municipal Band Carnmission <br />❑ Paris/Lamar County Board of"6el`/ed <br />~ Planning & Zoning Comnussion <br />❑ Public Libra.ry Advisory Boa4ff T 2008 <br />~ Tra ffic Commissivn CV <br />oGPariS <br />❑ Zonins Board of Adaustment tl' 1Ork <br />Candidate Information <br />Address: " ~ ~ <br />~z-? <br />Work Phone:--- qz?-:? - .5 r ~p rl Hame Phone: D -.s/7 4DI~P~ <br />Fa7c,: C)1 D E-mail Address: ~-2GQ- fr►'I Z,Cb /q <br />Plcase nate any special kaawledge, education, or cxperience you have that is applicable to the fuaction of <br />the board, cornmission, or committee af interest (attach arlditional pages if necessary). Tf applicable, list <br />datcs af service on anv Citv baards, aornmissions. or commitlees. <br />By signing below, I bcknowledge that I am awarc and agrcc to the prohibitions of the City of Paris Charter and the (aws of tho <br />Sist,o of Texx1 regurding nepotism and conflicts of intcrest of appaintecs to City boards, commissians, and committees. i also <br />eoriify lhat if xppointcd I will attend at ]east 75 gercent of alI regular meetings and shall npt have any delinquent indebtednpSr <br />to the City during my term. 1 unJctsiand thut the numbcr of pasitions on a given board, commission, or commiltee is limitcd <br />and that I may npt be s►pE7ointed; howevor, if I Fun not appoinLed, I ugrce La bo placcd in a dntabxyc for poysiblc futiut <br />notifir„atian of topics af interest. 1 eertify thut the inforntation given by mc in this application is Iruc and cntrect and sny fx1;c <br />int'armation or misreprescntalien is sufficirnt gruunds for disquaIification. I authorizc the City of Paris to vcrify all <br />infutmal,ion providcrl in Ihis appIication. In accordancc with Scction 552 of the Local Government Code, i underst►nd that <br />informsllon provided in this applicxtion may bc sysilablc lb the public upon requcFt. - .0 / <br />Siguar,ure of Candidata~,,~N Date: <br />City of Paris Revised 08119108 <br />. `000-211t <br />