Laserfiche WebLink
04115/2008 10:41 9637846198 <br />BOARD/C+aMMISSION/COMMITTEE A4PPtiCA'X'YUN <br />The Paris City Council is seeking committeci individuals who are dedicated to t.he we11-being of the Pads <br />community ta serve an its standing boards, commissions, and committees. in genexal, xt is the City <br />Gouucil's policy to apyoint persons ta a m,aximum o£ two consecutive full three-year terms on a gaven <br />body. In, addition to ttig, general qualificaxions listed in the certification below; other qua.lifications may be <br />man.dated by statute, City ClWex, ordinance, or resolution. Please complete the infot'mation requested <br />below and retnrn to: City Clerk, 150 SE First Street/P.O. Box 9037, Pazis, Texas 75461, ReGeiued <br />BoardJCauumisaion/Camnaittee of Interest <br />❑ Aaxport Advisory $oard <br />❑ Bttilding. & Staadards Comm.i.ssion <br />- Fl Civi.l Smxce Commssxan <br />❑ Ecomom,ic Developzxiexi.'t Caxpoxatavn <br />❑ Histo:ic Prescrvation Commission <br />❑ Housing Authority Board af Co;mzaaissxoners <br />❑ Ma'm Street Advisoxy Board <br />Candidate Iufbimation . <br />Name: 1,1AE'i~~y <br />aa.aress: <br />Wozk Phone: ~03 7~Y I 1 YI Home P'hone: ~ ~ ~ 6 <br />Fax: 9110 3 Vf-/ E-aczxail Address: /~.rrlYl/ esiiA/ ~M le <br />Please note any specxal kitowledge, educativn, oz expezience yau have that is applieable to the fimction of <br />the board, commission, or cornmittee of interest (attach additionW pages if necessary). If applacable, list <br />dates of sErvice on any City baards, commissions, or conuWttees_ <br />/ DrfAJ /P121(r/t~1041~~77GiW" ! ~ 9 . <br />r ~/II/G•do' I 3P qV. 3 :5~Tg-79! 1)r!'1p ~ YAAArCoe- a A-Y~ <br />Certification and AuthorizAfion <br />M.G.MIESCH MD PAGE 01101 <br />U 4 f) ~`~/T. -(S' <br />G~~: <br />Q Municipal Ban.d Comumdssion _ <br />~Par,is/Lamax County Board of HealttiCdy of Pa►'is <br />Goty Clerk <br />❑ Plan rn g & Zoning Commission <br />❑ Public Library Advisory Board <br />❑ Traffic Coai,mdtssi6h <br />[lZoni.ng Board o Adjustment ~ <br />~ <br />~ 1.0 , <br />By signing bclvw, x acknowledge kbiat I am aware mad agree to khe pxahi'bitions of the City of Paris Chartc[ eta.d the ,lavvs of the <br />State of Texas regarding nepotism aud conflicts of interest of appourtees to City boards, eommissions, and commi.ttees. x aisa <br />ceXtify tbat if appouited I wi,ll amend at least 75 pexcem of all regulsr meefts and shafl not have any deiiaquent indelitedqess <br />to the City, during my term. 1 understaBd that the number of positions on a given board, coammissaon, px cozxmittee is limited <br />and that I may not be appointed; however,. if' I = mot. appoirr~ Z agree to, be placed iua a database for possilile firture <br />notification of topics of interest. I certify that the information given by me ua tlxis appReation i,s taue amd correct and any false <br />infonnatian oz musrepreseitation is safficient grounds for disqualiicatian. I. suthorize the City of Parzs ta vt* a11 <br />iaa£oroaati,om provided 'ua this 'o .~n aceoxdanco witb, Scctao~a 552 of the Local Gavernmen.t Code, I uc~dc,~nd that <br />information provided in this a y available o the public upon request <br />Signa.tUre of Caniiidate: Dste• 7- /~-612 9 <br />~ ~j; I t~ ► t'Cc.-~ <br />00024.3 <br />Rtrisrd 02/19108 <br />City of Parts <br />~1~~ <br />